Heart Rate Variability: A Guide

HRV is a key indicator of recovery and resilience, yet often misunderstood. This guide clarifies what it means and how to use it.

Heart Rate Variability: A Guide

HRV is a key indicator of recovery and resilience, yet often misunderstood. This guide clarifies what it means and how to use it.

Heart Rate Variability: A Guide

Understanding how we should - and should not - use HRV as a biomarker for rest & recovery.

A Pulse Beneath the Pulse

If you zoom into a healthy heartbeat, you’ll notice something surprising. It’s not steady.
Each interval between beats changes slightly — speeding up and slowing down from one to the next. This pattern is called heart rate variability, or HRV.

The word variability can sound like imperfection. But here, variation is a sign of health. HRV reflects the constant negotiation between your body’s two control systems:

  • the sympathetic branch, which speeds the heart to meet demand, and

  • the parasympathetic, which slows it to conserve energy and restore balance.

Every heartbeat is a reflection of that conversation. HRV isn’t just a number, but a mirror of how gracefully your nervous system adapts to change.

What HRV Actually Measures

At its core, HRV is a measure of time: the variation in milliseconds between consecutive heartbeats, known as inter-beat intervals (IBIs).

A metronomic heart — perfectly even beats — would actually be unhealthy. It means the autonomic nervous system (ANS) has stopped fine-tuning the rhythm. In contrast, a heart that fluctuates rhythmically shows adaptability, readiness, and physiological resilience.

You can think of HRV as a window into autonomic flexibility — how fluidly your body can shift between activation and recovery.

Why Variability Matters

A flexible heart is a responsive heart.
When HRV is high, the body can react quickly to changes: stand up, breathe deeper, face a stressor, then settle back down.
When HRV is low, the system becomes rigid — locked in either acceleration or braking, like a car stuck in one gear.

This is why HRV correlates with so many health domains: cardiovascular endurance, stress resilience, sleep quality, emotional regulation, even immune response. It’s not the cause of these things; it’s the mirror.

But context matters. HRV naturally decreases during exertion, illness, or sleep deprivation. It also varies with age, genetics, and time of day.
The key isn’t whether HRV is “high” or “low,” but whether it behaves appropriately — rising during rest, recovering quickly after stress, and showing rhythmic modulation during slow breathing.

How It’s Measured (and Why It’s Often Misunderstood)

There are dozens of HRV metrics, each capturing a slightly different angle of the same underlying rhythm. The most common are:

Metric What It Represents Limitations
SDNN Overall variability across the recording window Influenced by recording length, posture, and movement; not ideal for short sessions
RMSSD Beat-to-beat changes; often used as a vagal marker Sensitive to breathing rate; can decrease during slow breathing even when vagal tone increases
LF Power Energy in 0.04–0.15 Hz band; reflects baroreflex activity Often mislabeled as “sympathetic” despite being largely parasympathetic under slow breathing
HF Power Energy in 0.15–0.40 Hz band; driven by normal respiratory sinus arrhythmia Disappears during slow, paced breathing below 7 breaths per minute
LF/HF Ratio A historical “balance index” Oversimplified; not physiologically reliable for individual interpretation

Each of these can be informative — but only in context. HRV is not a single number that lives in isolation.
During slow, controlled breathing, for instance, HF power (normally considered vagal) collapses simply because the breathing frequency moves below the HF range. LF power, meanwhile, surges — but it’s still entirely parasympathetic. Unless you understand that context, you’d misread the data.

That’s why HRV can be confusing: it’s dynamic, contextual, and frequency-dependent.

The Breathing Connection

Breathing is the dominant driver of short-term HRV. Each inhale speeds the heart slightly; each exhale slows it down. This oscillation — respiratory sinus arrhythmia (RSA) — is one of the clearest signatures of parasympathetic activity.

When you breathe around 0.1 Hz (about six breaths per minute), this oscillation enters resonance — a state where the rhythms of the heart, lungs, and baroreflex align perfectly.
In this state, HRV amplitude becomes large, smooth, and rhythmic. The signal isn’t just variable — it’s coherent.

This is the physiological foundation of resonance breathing, and why techniques that train HRV through breathing are so effective. They don’t just increase variability; they improve coordination across multiple systems.

The Problem With Single-Number HRV

Modern wearables often compress this complexity into a single score. It’s convenient, but it hides nuance.

A high HRV score could come from irregular, noisy variability (e.g., caffeine, movement) rather than coherent parasympathetic modulation.
A lower HRV score could appear during slow, even breathing — a pattern that’s physiologically excellent.
And because most devices take brief, intermittent samples (often while you sleep), they miss the continuous dance that happens throughout the day.

HRV isn’t just magnitude; it’s shape, timing, and context.

That’s why Ohm takes a different approach. Rather than collapsing everything into one number, it looks at three interrelated dimensions — heart rate, amplitude, and resonance — to capture the system’s load, capacity, and efficiency in real time. (See The Ohm Triad of Metrics.)

Common Myths About HRV

  1. “Higher HRV is always better.”
    Not necessarily. Elite endurance athletes often have very high HRV but also overtraining risk when variability becomes chaotic. Context matters.

  2. “Low HRV means stress or anxiety.”
    Sometimes true — but HRV also drops during deep focus, exercise, or illness. The pattern over time, not one number, tells the story.

  3. “LF means sympathetic activity.”
    Outdated. Research shows that during slow breathing, LF power primarily reflects parasympathetic baroreflex activity (Vaschillo et al., 2011).

  4. “The LF/HF ratio shows balance.”
    A legacy concept. Real autonomic balance is nonlinear and can’t be captured by a simple ratio.

How to Read Your Own HRV

  • Look for direction, not perfection. HRV naturally fluctuates day to day; what matters is the trend.

  • Control your conditions. Measure at the same time, in the same posture, ideally under similar rest or breathing conditions.

  • Watch for recovery patterns. After stress or exertion, HRV should rebound — the faster, the better.

  • Observe your rhythm. Smooth, sinusoidal HRV during slow breathing is a better sign of coherence than a high-but-chaotic score.

Consistency reveals adaptation. The goal is not to reach a number, but to see the curve shift: steadier waves, faster recovery, stronger oscillations.

How Ohm Uses HRV Differently

Most wearables record HRV passively, like a thermometer reading temperature.
Ohm works like a thermostat — continuously sensing and adjusting.

By guiding your breathing into resonance and measuring HRV in real time, Ohm turns variability into feedback. It helps the body learn its own natural tempo of calm.
Instead of analyzing data after the fact, you experience the shift as it happens — light, sound, and vibration reflecting your internal rhythm.

In that sense, HRV isn’t the outcome. It’s the language.
And the practice isn’t about chasing numbers, but about training responsiveness — teaching your body how to find balance again and again.

Closing — The Rhythm of Adaptation

A healthy heart is not a metronome.
Its rhythm stretches and contracts with every breath, thought, and emotion. HRV is that elasticity made visible — a measure of how fluidly we move between effort and ease.

We can’t control every beat, but we can shape the patterns that emerge between them.
That’s the real gift of HRV: it shows that adaptability itself can be cultivated.

Each slow, steady breath is a small act of training — a conversation between heart and brain that gently nudges the autonomic nervous system back into balance.

Selected References

  • Lehrer, P.M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability. Applied Psychophysiology and Biofeedback.

  • Porges, S.W. (2007). The polyvagal perspective. Biological Psychology.

  • Vaschillo, E., Vaschillo, B., & Lehrer, P.M. (2011). Characteristics of resonance in heart rate variability stimulated by biofeedback. Applied Psychophysiology and Biofeedback.

  • Shaffer, F., & Ginsberg, J.P. (2017). An overview of heart rate variability metrics and norms. Frontiers in Public Health.

Laborde, S., Mosley, E., & Thayer, J.F. (2017). Heart rate variability and cardiac vagal tone in psychophysiological research.Frontiers in Psychology.