The Apple Watch cannot detect heart attacks.
A watch cannot provide more than one lead (and the lead it does provide is really useless for detecting ST elevation, since it's a view across the "top" of the heart, which is not an area that will be involved in the infarction). It is not physically possible to detect a a heart attack from a watch.
If you had asked me six months ago if a watch could detect atrial fibrillation, my answer would have been "sure, why not?". Just because one thing is possible with the advancement of technology, it doesn't mean all things are possible...
I'm not saying there is, I just wonder if heart attacks might cause some discernible but very complex pattern visible in high-dimensional data that we haven't discovered yet, or if there is just too much physical distance between the wrist and heart to drown out all signal.