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PreprintCC BYmedRxiv

Muse 2 forehead photoplethysmography agrees with Polar H10 for heart rate but overestimates ultra-short RMSSD

  1. 1Universitas Udayana

Abstract

The Muse 2 EEG headset also records forehead photoplethysmography (PPG). We tested whether its pulse intervals can replace Polar H10 RR intervals for ultra-short heart-rate variability in 28 seated recordings (60 s eyes open, then 60 s eyes closed), using fixed processing, no exclusions and eleven sensitivity analyses. Mean heart rate agreed almost perfectly (ICC [≥] 0.999; bias -0.22 and 0.00 beats min-1). SDNN agreement was good to excellent (ICC 0.86 and 0.91; bias +8.6 and +8.2 ms). RMSSD agreement was moderate (ICC 0.60): Muse exceeded Polar in at least 27 of 28 sessions (bias +19.2 and +18.5 ms; about 1.9-fold), and the ratio bias fell as RMSSD rose. Interval differences (SD 23 ms) implied about 16 ms of independent timing error per pulse, which reproduced the RMSSD bias; without ECG, sensor jitter could not be separated from variation in pulse transit time. Tracking of the eyes-closed change in ln RMSSD was not demonstrated ({rho} = 0.35, 95% CI -0.07 to 0.67; detectable {rho} [≥] 0.51). Muse 2 PPG can supply mean heart rate and, with a stated bias, SDNN; its ultra-short RMSSD is not interchangeable with Polar RMSSD and should be reported as pulse-rate variability.

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BibTeX
@misc{griadhi2026muse,
  title = {{Muse 2 forehead photoplethysmography agrees with Polar H10 for heart rate but overestimates ultra-short RMSSD}},
  author = {I. P. A. Griadhi and I. A. A. Suadnyana and N. Wahyuni},
  howpublished = {medRxiv},
  year = {2026},
  month = oct,
  doi = {10.64898/2026.10.05.26364782},
  url = {https://www.medrxiv.org/content/10.64898/2026.10.05.26364782v1},
  note = {CC BY},
}
RIS
TY  - UNPB
TI  - Muse 2 forehead photoplethysmography agrees with Polar H10 for heart rate but overestimates ultra-short RMSSD
AU  - I. P. A. Griadhi
AU  - I. A. A. Suadnyana
AU  - N. Wahyuni
PY  - 2026
DA  - 2026/10/05
PB  - medRxiv
DO  - 10.64898/2026.10.05.26364782
UR  - https://www.medrxiv.org/content/10.64898/2026.10.05.26364782v1
AB  - The Muse 2 EEG headset also records forehead photoplethysmography (PPG). We tested whether its pulse intervals can replace Polar H10 RR intervals for ultra-short heart-rate variability in 28 seated recordings (60 s eyes open, then 60 s eyes closed), using fixed processing, no exclusions and eleven sensitivity analyses. Mean heart rate agreed almost perfectly (ICC [≥] 0.999; bias -0.22 and 0.00 beats min-1). SDNN agreement was good to excellent (ICC 0.86 and 0.91; bias +8.6 and +8.2 ms). RMSSD agreement was moderate (ICC 0.60): Muse exceeded Polar in at least 27 of 28 sessions (bias +19.2 and +18.5 ms; about 1.9-fold), and the ratio bias fell as RMSSD rose. Interval differences (SD 23 ms) implied about 16 ms of independent timing error per pulse, which reproduced the RMSSD bias; without ECG, sensor jitter could not be separated from variation in pulse transit time. Tracking of the eyes-closed change in ln RMSSD was not demonstrated ({rho} = 0.35, 95% CI -0.07 to 0.67; detectable {rho} [≥] 0.51). Muse 2 PPG can supply mean heart rate and, with a stated bias, SDNN; its ultra-short RMSSD is not interchangeable with Polar RMSSD and should be reported as pulse-rate variability.
ER  -