EMPD: An Event-based Multimodal Physiological Dataset for Remote Pulse Wave Detection

Wearables are widely used for mobile health monitoring, and photoplethysmography (PPG) is a key sensing modality for heart rate and related physiological measurements. However, public in-the-wild PPG datasets remain largely wrist-centric or limited to short, controlled studies, constraining research on emerging wearable form factors. We present Multi-site PPG, an in-the-wild physiological dataset collected from four custom-developed unobtrusive wearables: a smart earring, ring, watch, and necklace. Each device records green and infrared reflective PPG, 3-axis acceleration, and temperature with timestamps for cross-device alignment, while a Polar H10 chest strap provides reference electrocardiogram (ECG). Participants wore the devices for multiple days during daytime activities while continuing their normal routines. The dataset contains over 350 hours of raw data and 230-290 hours of modeling-ready 8-second windows per wearable. We benchmark heuristic, supervised, and self-supervised heart-rate estimation methods, showing substantial body-site differences: the best methods achieve mean absolute errors (MAEs) of 2.30 bpm on the earring, 5.13 bpm on the ring, 8.37 bpm on the watch, and 8.68 bpm on the necklace. We further analyze motion effects and evaluate multi-site and PPG-accelerometer fusion, demonstrating the dataset's value for robust physiological sensing across emerging wearable form factors.

Reflective photoplethysmography (PPG) has become the default sensing technique in wearable devices to monitor cardiac activity via a person's heart rate (HR). However, PPG-based HR estimates can be substantially impacted by factors such as the wearer's activities, sensor placement and resulting motion artifacts, as well as environmental characteristics such as temperature and ambient light. These and other factors can significantly impact and decrease HR prediction reliability. In this paper, we show that state-of-the-art HR estimation methods struggle when processing representative data from everyday activities in outdoor environments, likely because they rely on existing datasets that captured controlled conditions. We introduce a novel multimodal dataset and benchmark results for continuous PPG recordings during outdoor activities from 16 participants over 13.5 hours, captured from four wearable sensors, each worn at a different location on the body, totaling 216,hours. Our recordings include accelerometer, temperature, and altitude data, as well as a synchronized Lead I-based electrocardiogram for ground-truth HR references. Participants completed a round trip from Zurich to Jungfraujoch, a tall mountain in Switzerland over the course of one day. The trip included outdoor and indoor activities such as walking, hiking, stair climbing, eating, drinking, and resting at various temperatures and altitudes (up to 3,571,m above sea level) as well as using cars, trains, cable cars, and lifts for transport -- all of which impacted participants' physiological dynamics. We also present a novel method that estimates HR values more robustly in such real-world scenarios than existing baselines.

Remote photoplethysmography (rPPG) enables contactless measurement of heart rate and other vital signs by analyzing subtle color variations in facial skin induced by cardiac pulsation. Current rPPG methods are mainly based on either end-to-end modeling from raw videos or intermediate spatial-temporal map (STMap) representations. The former preserves complete spatiotemporal information and can capture subtle heartbeat-related signals, but it also introduces substantial noise from motion artifacts and illumination variations. The latter stacks the temporal color changes of multiple facial regions of interest into compact two-dimensional representations, significantly reducing data volume and computational complexity, although some high-frequency details may be lost. To effectively integrate the mutual strengths, we propose PhysNeXt, a dual-input deep learning framework that jointly exploits video frames and STMap representations. By incorporating a spatio-temporal difference modeling unit, a cross-modal interaction module, and a structured attention-based decoder, PhysNeXt collaboratively enhances the robustness of pulse signal extraction. Experimental results demonstrate that PhysNeXt achieves more stable and fine-grained rPPG signal recovery under challenging conditions, validating the effectiveness of joint modeling of video and STMap representations. The codes will be released.