Cited by 307Heart Rate Variability and Autonomic ControlReliability and Agreement in MeasurementHeart rate and cardiovascular health

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The reliability of short-term measurements of heart rate variability

Sandercock, Gavin R.H., Bromley, Paul D., Brodie, David A.·2005·International Journal of Cardiology

DOI 10.1016/j.ijcard.2004.09.013

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Abstract

Short-term assessment of heart rate variability (HRV) is a non-invasive technique to examine ANS function. Within the literature, HRV is commonly referred to as a reliable measurement technique. The aim of this review was to assess the accuracy of this description based upon a comprehensive review of the available data concerning reliability of short-term HRV measures. Reviewing only studies using appropriate statistical analyses, it was determined that reliability coefficients for HRV measures were highly varied. Coefficients of variation ranged from 100%. Similar variation was found in studies using the intraclass correlation coefficient values, and limits of agreement. Reliability coefficients reported displayed some distinct patterns. Firstly, where measurements were made during interventions such as tilt or pharmacological stimulation, reliability was poorer than when HRV was measured at rest. Secondly, clinical populations displayed poorer reliability than healthy subjects. There was little effect of test-retest duration on reliability and although no single HRV measurement appeared less reliable than another, there was evidence that optimal data collection conditions for specific frequency domain measures exist. Describing HRV as a reliable measurement technique appears to be a gross oversimplification, as results of reliability studies are heterogeneous, and dependent on a number of factors. Further studies are required, particularly in clinical populations to assess…

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Authors: Sandercock, G. R. H., Bromley, P. D., & Brodie, D. A.
Corresponding author: Sandercock, Gavin R.H.
ORCID: Sandercock, Gavin R.H.
Venue: International Journal of Cardiology
Publisher: Elsevier BV
Published: 2005-09
Volume: 103
Issue: 3
Pages: 238-247
ISSN: 0167-5273 (ISSN-L)
DOI: 10.1016/j.ijcard.2004.09.013
OpenAlex: W2072450200
Cited by: 307
References: 72
Citations by year: 2026: 9 · 2025: 12 · 2024: 18 · 2023: 13 · 2022: 11 · 2021: 15 · 2020: 29 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 24 · 2015: 12 · 2014: 14 · 2013: 19 · 2012: 22
FWCI: 1.93
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: International Journal of Cardiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
Keywords: heart rate variability, measurement reliability, autonomic function, intraclass correlation coefficient, limits of agreement, test-retest reliability, clinical populations, healthy volunteers, sample size determination
MeSH terms: Heart Rate, Humans, Reproducibility of Results

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The reliability of short-term measurements of heart rate variability

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