i was sceptical. did a bit of reading.
apparently it shines the flash permanently, which lights up your finger, giving the camera (video stream i presume) an orange hue.
because blood flow changes with your pulse, it measures the differences in hue over time, and extrapolates heart rate.
would need to compare to a proper monitor to gauge accuracy.
i tried with a reddish inanimate object, it registered, but couldn't lock a pulse.