A pulse discrimination device is configured to receive electrical signals from a plurality of positions of a living body to which a pacing device for outputting a pacing pulse to cause a heart to beat is attached, and is configured to discriminate the pacing pulse included in the electrical signals. The pulse discrimination device includes: a differential processor configured to calculate a difference of the electrical signals received from the plurality of positions, a sum processor configured to calculate a sum of the electrical signals received from the plurality of positions, and a pulse discrimination unit configured to discriminate the pacing pulse included in the electrical signals based on the difference obtained by the differential processor and the sum obtained by the sum processor.