Organic photodetectors (OPDs) are the prime candidates for realizing commercial photoplethysmography (PPG) sensors in the future, although their performance and stability limitations remain as challenges. This study presents a strategy for fabricating high-precision, long-term, sustainable OPDs for non-invasive cardiac monitoring. In this work, the use of appropriate amounts of heterocyclic 1,3-diazoles (solid surfactants) enhances the morphology of PEDOT:PSS films and optimizes its energy level alignment, thus directly reducing the leakage current noise and improving the stability of the OPD. The OPDs with 0.5 wt% heterocyclic 1,3-diazole demonstrate enhanced dark current suppression and detectivity enhancement in the photoconductive and self-powered modes. Improved charge recombination dynamics and optimal resistance ratios lead to better performance of the champion device under low-intensity illumination. The champion device yields a more precise Photoplethysmography (PPG) signal under normal and exercise conditions when using a near-infrared light source, and it maintains a PPG signal intensity of more than 90 % after 315 days (7560 h) of storage in a nitrogen atmosphere. Optimized PPG sensors based on flexible substrates maintain signal intensity after seven days of air storage. The low hysteresis behavior also verifies that the optimized device has higher driving stability. High-reliability, high-validity accelerated photoplethysmography (APG) demonstrated that the champion PPG sensor would be used for accurate cardiovascular diagnostics, even over an extended period.