The Nuance

What You Need to Know About Heart Rate Variability

HRV has emerged as a key indicator of stressand maybe also impending illness

Markham Heid
Elemental
Published in
5 min readJul 28, 2021

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Photo: Robina Weermeijer/Unsplash

Chronic stress is a killer. It’s associated with dysfunctions of the heart, brain, and immune system, and it seems to cause or contribute to all manner of health problems — from heart disease and diabetes to depression and dementia.

While just about everyone recognizes the dangers of chronic stress, experts still haven’t figured out a great way to measure it. Typically, they rely on psychological assessments — basically, asking people about their life and state of mind — and biomarkers such as blood pressure.

Unfortunately, these diagnostic methods are imprecise and sometimes unreliable. They give doctors a good idea of whether a person has problem stress, but they leave a lot of wiggle room for subjective interpretation. Their shakiness also makes it tough for experts to determine the severity of a person’s stress and whether a particular treatment is effective.

The science of heart rate variability (HRV) may fill all these gaps.

“If you look at acute and chronic stress, aging, health problems — from the psychological and cognitive domains to cardiovascular and metabolic disease —…

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Markham Heid
Elemental

I’m a frequent contributor at TIME, the New York Times, and other media orgs. I write mostly about health and science. I like long walks and the Grateful Dead.