A pulse wave transit time measurement device includes a pulse wave transit time calculator that calculates a pulse wave transit time based on a peak time difference between an electrocardiographic signal and a pulse wave signal, a posture classifier that classifies time serial data of the pulse wave transit time based on a posture detected by an acceleration sensor, and a fluctuation identifier that sets a reference posture from among classified postures, corrects, in conformity with the reference posture, the time serial data of the pulse wave transit time classified into the posture different from the reference posture, and determines fluctuations in the pulse wave transit time based on the time serial data of the pulse wave transit time in the reference posture and the time serial data of the pulse wave transit time having being corrected.