The fitness industry has a pretty well-developed ecosystem (I grabbed a random 5 year old heart rate chest strap and it paired immediately to the rowing machine). Garmin has seemed to have embraced that for at least a decade. It can definitely use improvement, but Apple has its own thing and it'll give you grief if they didn't have your use-case in mind.
To be fair, others like Fitbit has similar issues. With them you can't even grab detailed heart-rate data.
I am a Garmin user and a friend is a PM for Apple and I've had this argument too much to rehash it here :). But it really comes down to depth for the fitness use case (Garmin) versus good-but-not-as-great fitness tracking as part of a more general use case (Apple).
Recent theVerge.com article says the Apple Watch is sending too many people to doctors for further investigation (only ~10% had actual cardiac problems). see https://www.theverge.com/2020/10/1/21496813/apple-watch-hear...
Also the main new feature of the Apple Watch 6, blood oxygen monitoring, was reported as unreliable in theVerge.com review: https://www.theverge.com/21496141/apple-watch-series-6-revie...
and a Washington Post article put down the Apple Watch and the FitBit Sense's blood oxygen monitors:
https://www.washingtonpost.com/technology/2020/09/23/apple-w...
Not the grandparent poster, but Apple Watch battery life is bad enough that going on medium-length hikes (and tracking it as a workout) requires you to pull out a powerbank and then awkwardly slide the charging pad in between your skin and the watch. Ugh.
(I'm still torn on whether I actually like my Watch; I'd definitely prefer a Lightning port to the custom charging pad that's not even reversible.)
It might be possible your battery has degraded considerably?
Compare to Garmin: The Fenix 6 is rated for 36 hours of GPS activity recording per charge, or 72 hours in a battery-saving GPS mode.