To the OP, if you don't mind saying, what minor heart problems do you have?
There are many heart conditions which causes ones heart to beat inconsistently.
There could be a simple reason why the readings are off.
Also, portable pusle ox monitors are notoriously inaccurate for both heart rate and blood oxygen. They are good for a generalized idea but if a true measurement is needed a doctor will usually order a "blood gas" in the hospital.
Also, it can be normal for a person to have a heart beat less than 60 beats per minute when resting if they are young, healthy, very athletic etc. It can also be a sign that the primary pace maker in your heart is not functioning normal and one of the hearts backup pacing systems has taken over.
Unfortunately, the apple watch will not be able to diagnose any of these issues. Its a good idea for everyone to get a physical once a year if possible.
That being said, everyone take a deep breath, you heart is probably fine and the watch is most likely not getting a good reading for one of several factors including how tightly you have the watch applied to your wrist.
If you are interested in how the heart rate monitor in you watch works you can read about it here:
https://support.apple.com/en-us/HT204666
There is also some info about inaccurate readings.
enjoy