Remote photoplethysmography (rPPG) enables non-contact heart rate (HR) monitoring from facial videos, but RGB-only methods are vulnerable to illumination changes, motion artifacts, and skin-tone-dependent optical reflectance. We propose CardiacMamba, a fair and robust RGB-RF fusion framework that integrates optical facial cues and radio-frequency cardiac motion cues through state space modeling. CardiacMamba introduces a Temporal Difference Mamba Module (TDMM) to enhance subtle RF temporal variations, a bidirectional SSM-based interaction mechanism to align heterogeneous RGB-RF dynamics, and a Channel-wise Fast Fourier Transform (CFFT) module for channel-domain spectral refinement. On the EquiPleth dataset, CardiacMamba achieves state-of-the-art performance with 0.96 bpm MAE, 3.06 bpm RMSE, and 0.97 Pearson correlation, while reducing the observed light-dark skin-tone MAE gap to 0.26 bpm and maintaining robustness under RGB degradation and RF-missing conditions
Remote photoplethysmography (rPPG) enables non-contact heart-rate estimation from facial videos, but its weak physiological signal is easily corrupted by motion, illumination changes, occlusion, skin-appearance variation, and device noise. Existing rPPG methods typically rely on a single model to directly predict heart rate or recover pulse waveforms, while different strong estimators may produce conflicting yet individually plausible candidates for the same video. To resolve these conflicts, we propose PhysAgent, an inference-time multi-agent candidate-verification framework. Unlike direct prediction approaches, PhysAgent neither trains a new base rPPG model nor asks Multimodal Large Language Models (MLLMs) to output heart rate directly. In contrast, it treats outputs from multiple base estimators as physiological hypotheses to be verified and uses a lightweight 4B MLLM, Qwen3-VL-4B, to drive multi-agent reasoning over video conditions, signal reliability, and candidate disagreement. A deterministic physiological verifier checks the fusion proposal, and a reproducible numerical fusion process produces the final heart rate. Experimental results on multiple public rPPG benchmarks show that PhysAgent improves fusion stability and reliability across different datasets and source-domain settings, while avoiding the irreproducibility and physiological inconsistency of direct MLLM prediction or unconstrained ensemble fusion. The code will be released soon.
Wrist-worn photoplethysmography (PPG) enables continuous monitoring of cardiopulmonary physiology, but reliable heart rate (HR) and respiratory rate (RR) estimation in free-living conditions remains challenging due to non-stationary motion artifacts that spectrally overlap with physiological dynamics. Existing signal-processing methods degrade under strong motion, while unconstrained deep learning approaches often lack physiological interpretability and identifiable structure. We propose a Physically-Constrained Harmonic Separation (PCHS) framework that formulates HR and RR estimation from wrist PPG as an analysis-by-synthesis problem, where accelerometer measurements condition artifact separation rather than directly regressing vital signs. A physics-guided harmonic generator decomposes the observed signal into quasi-periodic physiological components and a motion-related residual, enabling HR recovery from the fundamental frequency and RR prediction from respiratory-driven modulations of the harmonic parameters. Robust reconstruction objectives, separation constraints, and uncertainty-aware weighting stabilize the decomposition under motion. Experiments on the motion-intensive PPG-DaLiA dataset demonstrate that PCHS outperforms state-of-the-art methods while yielding interpretable signal decompositions that effectively disentangle physiological activity from motion artifacts.
Remote photoplethysmography (rPPG) is a camera-based technique for measuring physiological signals, particularly cardiac activity. From the remotely measured signals, heart rate can be estimated, which is crucial for health monitoring. In this study, we investigate a driver health monitoring system based on remote heart rate estimation. However, driving environments represent uncontrolled settings where videos are subject to varying illumination conditions and frequent head movements. We introduce MS-rPPG, a multi-spectral framework that combines RGB with near-infrared (NIR) face video to alleviate rPPG estimation under challenging driving conditions. To combine the complementary features from two spectral videos, we propose a cross-spectral linear modulation (CSLM) strategy based on frequency-domain analysis. Moreover, we introduce MS-Mamba, a novel state space model designed to effectively model long-range temporal dependencies while jointly capturing cross-channel interactions between multi-spectral features. We collected a real-world dataset called MS-Drive, which was recorded from 50 participants while driving the vehicle. The proposed method was evaluated on the MR-NIRP Car dataset and MS-Drive datasets. The experimental results indicate that MS-rPPG shows better robustness and heart rate estimation accuracy than previous methods, highlighting its promise for driver health monitoring. The codes are available at github.com/ziiho08/MS-rPPG.