Heart-Rate Variability—More than Heart Beats?

Ernst, Gernot

doi:10.3389/fpubh.2017.00240

Cited by 416Heart Rate Variability and Autonomic ControlVagus Nerve Stimulation ResearchCardiac Health and Mental Health

Heart-Rate Variability—More than Heart Beats?

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Ernst, Gernot·2017·Frontiers in Public Health

DOI 10.3389/fpubh.2017.00240PMC PMC5600971

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Abstract

. But HRV is probably more than an indicator for probable disturbances in the autonomous system. Some perturbations trigger not reciprocal, but parallel changes of vagal and sympathetic nerve activity. HRV has also been considered as a surrogate parameter of the complex interaction between brain and cardiovascular system. Systems biology is an inter-disciplinary field of study focusing on complex interactions within biological systems like the cardiovascular system, with the help of computational models and time series analysis, beyond others. Time series are considered surrogates of the particular system, reflecting robustness or fragility. Increased variability is usually seen as associated with a good health condition, whereas lowered variability might signify pathological changes. This might explain why lower HRV parameters were related to decreased life expectancy in several studies. Newer integrating theories have been proposed. According to them, HRV reflects as much the state of the heart as the state of the brain. The polyvagal theory suggests that the physiological state dictates the range of behavior and psychological experience. Stressful events perpetuate the rhythms of autonomic states, and subsequently, behaviors. Reduced variability will according to this theory not only be a surrogate but represent a fundamental homeostasis mechanism in a pathological state. The neurovisceral integration model proposes that cardiac vagal tone, described in HRV beyond others as HF-index, can mirror the functional balance of the neural networks implicated in emotion-cognition interactions. Both recent models represent a more holistic approach to understanding the significance of HRV.

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HR measurement can predict cardiovascular morbidity and mortality in a reliable and easily accessible way.
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“HRV has been widely used to evaluate autonomic functioning, not only pertaining to cardiac function but to many other physiological and psychological aspects of body functioning (11, 14, 15).”
Method

Authors: Ernst, G.
Affiliations: Vestre Viken Hospital Trust (NO)
Corresponding author: Ernst, Gernot
ORCID: Ernst, Gernot
Venue: Frontiers in Public Health
Publisher: Frontiers Media SA
Published: 2017-09-11
Volume: 5
Pages: 240-240
ISSN: 2296-2565 (ISSN-L)
DOI: 10.3389/fpubh.2017.00240
PMC: PMC5600971
OpenAlex: W2754533824
Cited by: 416
References: 165
Citations by year: 2026: 34 · 2025: 48 · 2024: 61 · 2023: 55 · 2022: 58 · 2021: 64 · 2020: 48 · 2019: 34 · 2018: 12 · 2017: 1
FWCI: 3.63
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Frontiers in Public Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: heart rate variability, autonomic nervous system, polyvagal theory, neurovisceral integration model, cardiac vagal tone, time series analysis, life expectancy, homeostasis, emotion-cognition interaction

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Heart-Rate Variability—More than Heart Beats?

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