I think it's a general limitation of the optical heart rate trackers that they aren't quite "24/7". At least on all the Android Wear devices that feature one, you have to ask it to take a reading, and it's pretty unreliable if you're moving. I didn't see it mentioned in the Apple coverage, but I assume it's probably similarly limited there?
I would have bought one since that's exactly what I want but they're -still- not shipping outside the US. Think they may have missed their chance now...