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Understanding Heart Rate Variability

macro view of a cardiogram waveform

Your heart may feel like it beats in a steady rhythm, but the time between each beat naturally varies. This small variation is called heart rate variability, or HRV, and it can tell us a lot about how our body is functioning.

Heart rate variability is a window into your nervous system, your recovery, and your ability to handle stress. In recent years, HRV has gained attention for its potential to offer insight into overall heart health and long-term wellness.

What is heart rate variability?

Heart rate variability measures the variation in time between heartbeats. A healthy heart does not tick like a metronome. Some variation is a good sign. HRV reflects the balance between your sympathetic and parasympathetic nervous systems, which control your stress response and recovery.

Generally, a higher HRV means your body is more resilient and adaptable. A lower HRV may suggest your system is under strain, whether from illness, stress, poor sleep, or other lifestyle factors.

How is HRV measured, and what does it mean?

Heart rate variability is typically measured using medical-grade monitors prescribed by your physician or wearable devices such as fitness trackers and smartwatches. These devices assess the precise timing between beats, typically during sleep or rest.

Because HRV is highly sensitive to day-to-day changes, it’s best understood when tracked over time. A single low reading isn’t a cause for alarm. Instead, trends over days or weeks offer more meaningful insight into your health and recovery. Individuals with higher HRV tend to have better cardiovascular fitness and recovery. Low HRV has been linked to increased risk for heart disease, diabetes, and chronic stress.

While HRV is not a diagnostic tool on its own, it is increasingly being used to support overall wellness tracking, especially in people managing heart conditions or working on lifestyle improvements.

What affects HRV?

Many everyday factors can influence heart rate variability. Poor sleep, high stress, dehydration, illness, and alcohol use can lower your HRV. Physical activity, healthy sleep, good nutrition, and stress management can help support and improve it.

Some medications and underlying health conditions can also affect HRV. If you’re concerned about a pattern of low HRV, talk to your doctor, especially if paired with fatigue, shortness of breath, or changes in heart rhythm.

Is HRV something you should track?

Tracking heart rate variability isn’t necessary for everyone, but it can be a helpful tool for athletes, people managing heart disease, or individuals working on long-term lifestyle changes. HRV can provide an early warning sign that your body may need more rest, hydration, or stress reduction.

If you’re curious how HRV fits into your heart health, the cardiology team at the Oklahoma Heart Hospital can help. We’ll take a full look at your health to help you understand what your numbers mean and what steps to take next. Schedule an appointment today to take the next step toward a healthier heart.

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