Disclosed are an apparatus and a method for sensing photoplethysmogram and fall. According to the present invention, the apparatus and for sensing photoplethysmogram and fall may include: a sensor unit that senses acceleration and photoplethysmogram; a photoplethysmogram/fall determining module that synthetically tests sensed acceleration signals and photoplethysmogram signals sensed by the sensor unit to determine whether emergency occurs due to fall or emergency occurs due to photoplethysmogram; and a communication module that transmits the test results.