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

Griadhi, I. P. A.; Suadnyana, I. A. A.; Wahyuni, N.

2026-10-08 sports medicine
10.64898/2026.10.05.26364782 medRxiv
Show 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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