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HRV Health
The vision

HRV Health

Sounds like science fiction. It's science, not fiction.

HRV App

Heart rate variability - the science of measuring your health - accurately and reliably every day.

Heart Rate Variability (HRV) is great science. We did not invent it. We are perfecting it.

HRV is the measure of health. The higher the numbers, the better your health.

Good health is part genetic and mostly good lifestyle. People who exercise regularly, eat healthy, sleep well, and look after themselves have high HRV, and are rarely ill. People who smoke, have poor diets, lead sedentary lives, drink too much alcohol have low HRV and this shows in their medical history and quality of life in retirement.

HRV drops with age, and improving HRV is the way to reverse the aging process. With the HRV Health Pro app you can measure your progress.

Athletes have been using HRV for years to measure the impact of rigorous training on their systems, adapting their training regimen according to what their HRV data says. When they are overtrained, the HRV figure will tell them that it’s time to take a break. When they’re on a good day, the data gives them the confidence to push that little bit harder.

People with health conditions are advised to change their lifestyles. The HRV metrics tell them when the changes are working.

Crucial to the validity of the results are the quality of the data acquisition equipment and the reading conditions. This is the foundation of our thinking. The apps only link to the Polar H9 and H10 heart rate monitors, and we look for indicators that warn if the reading is taken in less than ideal conditions.

The philosophy creates trust - crucial for decision making based on the results.

HRV Health has a web based platform where users can see all of their results. But not everyone wants all that information every day. The HRV Health Pro app is designed for people who care about their health, love and trust the guidance that the HRV Health results give them, and want to see their data and graphs on their mobile device.

Our app also allows users to take ECG readings. One day soon, doctors will say: “Just send me your HRV Health ECG graph.”

It is here now, and it works.

The HRV Health Platform gives its users the ability to measure their health and fitness with heart rate variability and resting heart rate as the scientifically proven advantage that elite athletes use to dominate their sports.

Your heart is your personal pathologist

Resting heart rate and heart rate variability (HRV) are metrics that give consistent feedback on our health status and fitness.

The Healthcare Crises

Healthcare costs are rising at an unsustainable rate. In America they are already 16.8% of GDP. The other rich economies are on the same trajectory.

Frequently asked questions

What is the price of the HRV Health services?
The basic HRV Health services are free for non-corporate users. The premium services, including ECG readings, Poincaré plots, and reading interpretations are only available to subscribers. Read: Why HRV Health is free
Which heart rate monitor do I need?
The HRV Health Apps work with the Polar H9 and H10 heart rate monitors. The Polar H10 HRM is required to take ECG readings. Read: Which heart rate monitor should you get
Why do I need a chest heart rate monitor?
HRV is measured in milliseconds. Only chest heart rate monitors that use ECG technology can provides heart beat data at this level of accuracy. Read: Your heart is your personal pathologist
What do the HRV numbers mean?
There are a range of metrics that are derived from the HRV data. The most important figures are the rMSSD, the ratio, stress, and the resting heart rate Read: Understanding the numbers
How do I improve the HRV numbers?
Lifestyle impacts HRV figures. Exercise, relaxation, a health diet, and good sleep all have a positive impact on the metrics. Stress, poor sleep, poor diet, excessive alcohol intake, smoking, and a sedentary lifetyle have affect the HRV resutls negaitively. Read: Improving the numbers
How do I take accurate readings?
The most accurate readings are obtained when you are close to your resting pulse rate. Measuring first thing in the morning is the best way to obtain the baseline. Ensure that you are comfortable. Avoid distraction: the news, emails and conversation will all impact the reading, usually negatively. Once you have established a baseline, feel free to experiment with other times of the day, always ensuring the the resting heart rate is a realistic proximation of the baseline. Read: Measuring HRV
How do I use the Poincaré plot?
The Poincaré plot should be cigar shaped, from bottom left to top right. Random reading points may be casue for concern. A highly concerntrated circle shaped Poincaré plot is an indicator of poor health and the existence a chronic condition that requires urgent medical attention. Read: Understanding the Poincaré plot
I am recovering from a serious medical condition. Can I use HRV to measure my progress towards recovery?
Yes. The steps towards recovery will display with improved HRV numbers. Sleep is crucial to recovery, as is exercise. A serious illness is a reminder of our mortaility, and the HRV numbers will reflect how seriously we take the warning. Read: Recovering from illness or injury using HRV
What is the purpose of the information that is required during registration?
The name is required as a courtesy for correspondence. HRV is age and gender dependent which the reason for the birthdate and gender. The email address is required for correspondence, and for sending to backups of your data. Read: Using the HRV Health Pro app
Where can I find the research backing up the HRV Health system?
The HRV Health system conforms to the HRV standards established in 1996. We have a web-page dedicated to the science behind our technology. Read: HRV Research
How do I know if I am overtraining?
Overtraining is a syndrome, and it shows up in the HRV results like an illness. Overtraining can have a long term impact on your ability to reach your goals. Look for the warning signs in your HRV results. Subscribers have access to recovery advisories, designed to optimize your training, and ensure that you avoid overtraining. Read: HRV and overtraining
How does HRV work?
Heart rate variability or HRV is the measure of your immune system. It is the measure of the interval between each heart beat over a period of time. (IBI) The greater the variability between the heart beat intervals, the healthier the immune system. Read: Your heart is your personal pathologist
This is a fascinating subject. What should I read to understand more?
We have compiled a list of articles that will bring you up to speed quickly. Read: HRV Health: what should you read?
How do I get started with HRV Health?
You need to have a Polar H9 or H10 HRM to take the readings. Once you have the HRM, install the HRV Health app, and register on the HRV Health platform. Then you are ready to start taking readings. It is important to establish the baseline of your health before interpreting the results. Take readings each morning for five days, and the metrics will give you an indication of your state of health. Read the articles about what the numbers mean, and how to improve them. Read: Starting out with HRV Health
My Polar H10 is not connecting to the HRV Health app. Why not?
The Polar H10 ensures that it is properly worn before it connects to the app. Read: Using HRV Health Android version 3
How do I fix problems when using the HRV Health apps?
There are a range of reasons that you may have problems getting the app to work, from not having proper Internet connect to not having the heart monitor on, of the battery being flat. We have detailed troubleshooting guides on the support page and in our article. Read: Trouble shooting the HRV Health apps
How do I get to understand HRV?
For new HRV Health members the amount of material appears overwhelming. We have compiled a list of suggested reading that will assist people who are new to the science to become familiar with how it works. Read: HRV Health: what should you read?
Are wearables an accurate substitute for measuring HRV?
Wearable devices usually adopt photoplethysmography (PPG), using the photo sensors in the device, rather than electrocardiograph (ECG) that is used in medical and strap based heart rate monitors (HRM). PPG is not as accurate as ECG. We have tested both, with some interesting results. Read: Using wearables to measure HRV
How do I use HRV to achieve peak performance in my exercise?
HRV has been helping elite athletes to achieve peak performance for the past couple of decades. At HRV Health, we have developed algorithms that assist athletes to achieve their best, and our tests prove that they are effective. The way you exercise, and types of exercise has a profound impact on your health, and this is reflected in the HRV Health metrics. Read: Exercising with HRV
Can I use HRV to reverse the ageing process
Age is a disease to which everyone eventually succumbs. Like most other chronic conditions, HRV can be used to monitor and improve your state of health. How well you age is up to you. Read: Ageing, exercise, and HRV
I have a problem with stress. What should I do?
Stress kills! The HRV Health app measures stress, and by following our recommendations, you can lower your stress levels significantly. Read: Stress and HRV

Articles:
Improving the numbersImproved health produces improved HRV results. This is a case study of how to get healthier.
HRV and recoveryHRV Health’s primary focus is general health. That said, we have an increasing number of users who are athletes, and obtain valuable information for their training from the HRV data.
Using the iOS app for the first timeFor first time users, the iOS HRV Health app is a confusing array of buttons. This is an easy guide to using the app for the first time.
Switzerland`s healthcare is now the world’s most expensive.Switzerland’s healthcare is now the world’s most expensive. That should worry the people who have the responsibility to the citizens of this country, the FOPH, the politicians and the health insurers. It certainly worries us, the people who are paying for it.

Testimonials:
2023-02-19 19:06:39stany mTrès bonne application qui permet de voir son état de fatigue et de stress. Un bon indicateur de la forme physique et du status de la récupération. Utilisé jour après jour afin de savoir quand lever le pied. Site riche en documentations, très instructif avec un blog très pertinent. Du Swiss made, simplement excellent. Stan
2023-01-22 14:56:03arthur vSonntag 22.1.2023 Ende Dezember 2021 suchte ich, um meine Leistungen als Ausdauersportler zu verbessern ,eine App.Ich fand dann diese HRV Health App von Roy.Am Anfang war ich sehr skeptisch, denn einmal war der RMSSD extrem hoch dann wieder sehr tief. Das gleiche mit Ratio,etc. , obwohl ich mich immer gleich gut fühlte. Ich bekam immer wieder von der App die Meldung : Bitte Spezialist kontaktieren. Am Anfang dachte ich die App sei nicht gut.Trotzdem habe ich dann diverse Male das Problem mit Roy(HRV Spezialist) besprochen. Bin dann schlussendlich im Mai 2022 zum Herzspezialist/Kardiologen gegangen, der tatsachlich Herzprobleme feststellte. Im Sommer 2022 wurden mir dann 2 Stents implantiert. Seit Dezember 2022 bin ich wieder als Ausdauersportler voll aktiv . Ich habe das Entdecken meiner Herzprobleme der HRV Health App und Roy's Hilfe zu verdanken. Ich benütze diese App weiter täglich zur Kontrolle . Mit grossem Dank .. Arthur


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Privacy policy

Privacy Policy — HRV Health AG

Your privacy is critically important to us. At HRV Health AG, we have a few fundamental principles:

  • We are thoughtful about the personal information we ask you to provide and the personal information that we collect about you through the operation of our services.
  • We store personal information for only as long as we have a reason to keep it.
  • We aim to make it as simple as possible for you to control what information on your website is shared publicly (or kept private), indexed by search engines, and permanently deleted.
  • We help protect you from overreaching government demands for your personal information.
  • We aim for full transparency on how we gather, use, and share your personal information.

 

Below is our Privacy Policy, which incorporates and clarifies these principles.

Who We Are and What This Policy Covers

We are an organisation dedicated to helping clients to be their very best, every day. The most important person in this business is - you. 

This Privacy Policy applies to information that we collect about you when you use:

  • Our website;
  • Our mobile application, and
  • Other users’ websites that use our Services, while you are logged in to your account with us.

Throughout this Privacy Policy we’ll refer to our website, mobile applications and other products and services collectively as “Services.”

Below we explain how we collect, use, and share information about you, along with the choices that you have with respect to that information.

Information We Collect

We only collect information about you if we have a reason to do so–for example, to provide our Services, to communicate with you, or to make our Services better.

We collect information in three ways: if and when you provide information to us, automatically through operating our Services, and from outside sources. Let’s go over the information that we collect.

Information You Provide to Us

It’s probably no surprise that we collect information that you provide to us. The amount and type of information depends on the context and how we use the information. Here are some examples:

  • Basic Account Information: We ask for basic information from you in order to set up your account. For example, we require individuals who sign up for a HRV Health AG account to provide a their name, a user ID, a password, their date of birth, language preference, country and email address. The email address and password form part of the security system. If the password is incorrect, it will not be possible for you to activate your account. The password is an important security measure for you.
  • Public Profile Information: None of the information that you provide to HRV Health AG constitutes public information. We’ll keep it that way.


Information We Collect Automatically

We also collect some information automatically:

  • Log Information: Like most online service providers, we collect information that web browsers, mobile devices, and servers typically make available, such as the IP address, unique device identifiers, the date and time of access We collect log information when you use our Services–for example, when you create or make changes to your data on HRV Health AG.
  • Location Information: We may determine the approximate location of your device from your IP address. This is part of the security system. Illegal activities follow patterns. Monitoring patterns of irregular activities, especially those from specific IP addresses allow us to offer an additional layer of protection.
  • Information from Cookies & Other Technologies: A cookie is a string of information that a website stores on a visitor’s computer, and that the visitor’s browser provides to the website each time the visitor returns. We limit the use of cookies to one purpose, making your experience at HRV Health AG as pleasurable as possible. When we can avoid using cookies, we do.


How And Why We Use Information

Purposes for Using Information

We use information about you as mentioned above and for the purposes listed below:

  • To provide our Services;
  • To further develop and improve our Services;
  • To monitor and analyze trends and better understand how users interact with our Services, which helps us improve our Services and make them easier to use;
  • To monitor and prevent any problems with our Services, protect the security of our Services, detect and prevent fraudulent transactions and other illegal activities, and protect the rights and property of HRV Health AG and others, which may otherwise result in us declining a transaction or the use of our Services;
  • To communicate with you, for example through an email, about bikes that interest you, dealer responses to your requests for the models, sizes and and prices.; 

Legal Bases for Collecting and Using Information

A note here for those in the European Union about our legal grounds for processing information about you under EU data protection laws, which is that our use of your information is based on the grounds that:

  1. The use is necessary in order to fulfil our commitments to you under our Terms of Service or other agreements with you or is necessary to administer your requests–for example, in order to enable access to our website on your device; or
  2. The use is necessary for compliance with a legal obligation; or
  3. The use is necessary in order to protect your vital interests or those of another person; or
  4. We have a legitimate interest in using your information–for example, to provide and update our Services, to improve our Services so that we can offer you an even better user experience, to safeguard our Services, to communicate with you, and to prevent any problems with our Services, and to personalize your experience.

Sharing Information

How Long We Keep Information

We generally discard information about you when we no longer need the information for the purposes for which we obtained it–which are described in the section above on How and Why We Use Information–and we are not legally required to continue to keep it.

Security

While no online service is 100% secure, we work very hard to protect information about you against unauthorized access, use, alteration, or destruction, and take reasonable measures to do so, such as monitoring our Services for potential vulnerabilities and attacks.

Choices

You have several choices available when it comes to information about you:

  • Limit the Information that You Provide: If you are registered with us, you can choose not to provide the optional information Please keep in mind that if you do not provide this information, certain features of our Services–may be a little more complicated–for example the date of birth is used to create a unique user ID. If this information is your security is compromised, a little and only for this site. There are not purchases on the site, so the risk is small.


  • Opt-Out of Electronic Communications: You may opt out of receiving notifications of bijes that meet your interests, and responses from dealers at any time. We will still send you other messages, like legal notices and security concerns.
  • Set Your Browser to Reject Cookies: You can usually choose to set your browser to remove or reject browser cookies before using HRV Health AG’s website, with the drawback that certain features of HRV Health AG’s website may not function properly without the aid of cookies.
  • Close Your Account: While we’d be very sad to see you go, if you no longer want to use our Services :( :( :( :(, you can close your HRV Health AG account. Please keep in mind that we may continue to retain your information after closing your account, as described in How Long We Keep Information above–for example, when that information is reasonably needed to comply with (or demonstrate our compliance with) legal obligations such as law enforcement requests, or reasonably needed for our legitimate business interests.

Your Rights

If you are located in certain countries, including those that fall under the scope of the European General Data Protection Regulation (AKA the “GDPR”), data protection laws give you rights with respect to your personal data, subject to any exemptions provided by the law, including the rights to:

  • Request access to your personal data;
  • Request correction or deletion of your personal data;
  • Object to our use and processing of your personal data;
  • Request that we limit our use and processing of your personal data; and
  • Request portability of your personal data.

You can usually access, correct, or delete your personal data using your account settings and tools that we offer, but if you aren’t able to do that, or you would like to contact us about one of the other rights, scroll down to How to Reach Us to, well, find out how to reach us.

EU individuals also have the right to make a complaint to a government supervisory authority.

How to Reach Us

If you have a question about this Privacy Policy, or you would like to contact us about any of the rights mentioned in the Your Rights section above, please contact us.

Other Things You Should Know (Keep Reading!)

Transferring Information

Because HRV Health AG’s Services are offered worldwide, the information about you that we process when you use the Services in the EU may be used, stored, and/or accessed by individuals operating outside the European Economic Area (EEA) who work for us, or third party data processors. This is required for the purposes listed in the How and Why We Use Information section above. When providing information about you to entities outside the EEA, we will take appropriate measures to ensure that the recipient protects your personal information adequately in accordance with this Privacy Policy as required by applicable law. These measures include:

  • In the case of US based entities, entering into European Commission approved standard contractual arrangements with them, or ensuring they have signed up to the EU-US Privacy Shield; or
  • In the case of entities based in other countries outside the EEA, entering into European Commission approved standard contractual arrangements with them.

You can ask us for more information about the steps we take to protect your personal information when transferring it from the EU.

Ads and Analytics Services Provided by Others

Ads appearing on any of our Services may be delivered by advertising networks. Other parties may also provide analytics services via our Services. These ad networks and analytics providers may set tracking technologies (like cookies) to collect information about your use of our Services and across other websites and online services. These technologies allow these third parties to recognize your device to compile information about you or others who use your device. This information allows us and other companies to, among other things, analyze and track usage, determine the popularity of certain content, and deliver advertisements that may be more targeted to your interests. Please note this Privacy Policy only covers the collection of information by HRV Health AG and does not cover the collection of information by any third party advertisers or analytics providers.

Privacy Policy Changes

Although most changes are likely to be minor, HRV Health AG may change its Privacy Policy from time to time. HRV Health AG encourages visitors to frequently check this page for any changes to its Privacy Policy. If we make changes, we will notify you by revising the change log below, and, in some cases, we may provide additional notice (such as adding a statement to our homepage or the HRV Health AG Blog, or sending you a notification through email or your dashboard). Your further use of the Services after a change to our Privacy Policy will be subject to the updated policy.

That’s it! Thanks for reading.

Legal notice

Site operated by: HRV Health AG
UID: CHE-178.678.016
Management: Roy Reto Dalle Vedove
Address:Chemin Neuf 8
Chamoson
Valais, 1955
Switzerland
Telephone:+41 79 87 27 875
Email:info@hrvhealth.org

You must be logged in to send support requests!

Support request

Instructions

You must be registered to submit a support request.
The Registration ID required to submit a support request is included in the details in the email sent to you on registration.

Troubleshooting Guide

HRV Health Pro
ProblemSolution
No readingsCheck that the bluetooth for HRV Health has been enabled in your phone settings.
No readingsIf you are using an iOS device, check that the app is communicating with the platform. After clicking start reading, the platform confirms the connection, and the iOS device gives haptic feedback.
The results appear to be wrongIf a reading appears to be incorrect, check that the # data points column is between 118 and 120. If it is not, take a new reading.
The results appear to be wrongLook at the resting heart rate and the HRV heart rate. If this differs by more than 5, take a new reading.
The results appear to be wrongLook at the respiration rate. If this is above 12, take a new reading, breathing slowly.
RHR pulse rate is higher than normal, respiration rate it higher than normal, feeling fine, but the results are lower than normal.This is a sign that you are potentially fighting an illness. Do not do any strenuous exercise, and look for other symptoms that you are not feeling well. Take a second reading.
Pressing the Results button produces a blank screenThe HRM device ID has not been registered on the HRV Health Platform. Login at https://hrvhealth.org/login.php#tabs-2 and add the device ID: on the menus Metrics->User setup->HRM device add.
The time on the readings is out by an hour.The system is set up to adjust by an hour for daylight savings. In those countries that do not have daylight savings, the readings are out by an hour during winter.
The pulse rate displays, but nothing happens when the start reading button is pressed.This happens if the HRM is share on different portable devices. Make sure that the HRV Health app is NOT running on any other portable device that has been connected to the HRM. This will only happen if the other device is in close proximity to the HRM.
No readingsIs the HRM correctly attached to the chest.
No readingsCheck the HRM battery.
The results are very unusual with an RMSSD of over 300. The Poincaré plot is widely dispersed.Take an ECG reading. If this is normal, check the battery status using the Polar Beat app. If the battery is low, replace the battery and take another reading.
The RMSSD metrics are abnormally high, in excess of 200.Abnormally high RMSSD metrics can be caused by a heart condition. They can also be caused by a faulty strap. Ensure that the strap is tightly fitted around the chest. If you have one available, try using another strap.
The ECG graph is wave shaped.This is usually the result when the heart rate strap is not properly fitted around the chest. Please adjust the strap so that it fits tightly, without restricting breathing.
The ECG reading appears to be inverted, with the spike going downwards instead of upwards.The Polar heart rate monitor is upside down. Please remove the device from the strap, and replace it on the strap with the device ID on top, and Polar logo right way up.
The registration has been successful, but unable to take ECG or HRV readings.We have been working with Polar on this issue. This investigation has uncovered worldwide marketing of non-Polar devices acting as Polar heart rate monitors. You are requested to contact Polar customer care at: customercare@polar.com with the subject: Illegal Polar device. They will assist you in resolving this problem.
The ECG reading does not work.The ECG reading only works with the Polar H10 heart rate monitor. It does not work with the Polar H9.

HRV Health Android
ProblemSolution
The HRM does not connect to the HRV Health apps and does not connect to the Polar Beat appRequest a replacement of the Polar heart rate monitor
Results do not appear for the reading.On the HRV data screen, make sure that the Select checkbox is ticked, and click the Update button.
No readings.Is the HRM correctly attached to the chest.
No readingsCheck that the bluetooth for HRV Health has been enabled in your phone settings.
The results appear to be wrongIf a reading appears to be incorrect, check that the # data points column is between 118 and 120. If it is not, take a new reading.
The results appear to be wrongLook at the resting heart rate and the HRV heart rate. If this differs by more than 5, take a new reading.
The results appear to be wrongLook at the respiration rate. If this is above 12, take a new reading, breathing slowly.
RHR pulse rate is higher than normal, respiration rate it higher than normal, feeling fine, but the results are lower than normal.This is a sign that you are potentially fighting an illness. Do not do any strenuous exercise, and look for other symptoms that you are not feeling well. Take a second reading.
The time on the readings is out by an hour.The system is set up to adjust by an hour for daylight savings. In those countries that do not have daylight savings, the readings are out by an hour during winter.
The results are very unusual with an RMSSD of over 300. The Poincaré plot is widely dispersed.Take an ECG reading. If this is normal, check the battery status using the Polar Beat app. If the battery is low, replace the battery and take another reading.
The ECG reading appears to be inverted, with the spike going downwards instead of upwards.The Polar heart rate monitor is upside down. Please remove the device from the strap, and replace it on the strap with the device ID on top, and Polar logo right way up.
The registration has been successful, but unable to take ECG or HRV readings.We have been working with Polar on this issue. This investigation has uncovered worldwide marketing of non-Polar devices acting as Polar heart rate monitors. You are requested to contact Polar customer care at: customercare@polar.com with the subject: Illegal Polar device. They will assist you in resolving this problem.
The app crashes.The Polar API only works with devices that support Bluetooth Low Energy (BLE). Old devices that do not support this technology cannot connect to the heart rate monitor, and will crash when attempting to connect.
When pressing the pulse rate on button, no pulse rate appears, and the graph says No data availableThe strap is being worn too loosely. Please adjust the strap so that tight but comfortable. If that does not work, moisten the contact points on the strap. If that does not solve the problem, request a replacement from the dealer that sold you the Polar device.
The ECG reading does not work.The ECG reading only works with the Polar H10 heart rate monitor. It does not work with the Polar H9.

HRV Health Basic
ProblemSolution
No readings being displayedEnter HRM DeviceID and restart app.
HRV data not uploaded to systemCheck that the iOS device is connected to the Internet click the start reading button.
New HRV reading does not appear on systemCheck that the iOS device is connected to the Internet, and click the New reading button. The haptic feedback will confirm that a new reading has been registered.
Results do not appear after taking a readingMake sure that you feel a haptic tap after the reading starts and when it ends.
There is no haptic tap when the reading starts or when it ends.Check that haptics are enabled in the iOS settings.
Haptics are enabled, but there is still no haptic feedback when readings are taken.Check that the device is connected to the Internet.
Results do not appear for the reading.On the HRV data screen, make sure that the Select checkbox is ticked, and click the Update button.
The reading is there, but there is also a blank reading.Click the select column on the NULL readings, and click the archive button.
No readingsIs the HRM correctly attached to the chest.
No readingsCheck the HRM battery.
No readingsCheck that the bluetooth for HRV Health has been enabled in your phone settings.
No readingsIf you are using an iOS device, check that the app is communicating with the platform. After clicking start reading, the platform confirms the connection, and the iOS device gives haptic feedback.
The results appear to be wrongIf a reading appears to be incorrect, check that the # data points column is between 118 and 120. If it is not, take a new reading.
The results appear to be wrongLook at the resting heart rate and the HRV heart rate. If this differs by more than 5, take a new reading.
The results appear to be wrongLook at the respiration rate. If this is above 12, take a new reading, breathing slowly.
RHR pulse rate is higher than normal, respiration rate it higher than normal, feeling fine, but the results are lower than normal.This is a sign that you are potentially fighting an illness. Do not do any strenuous exercise, and look for other symptoms that you are not feeling well. Take a second reading.
Pressing the Results button produces a blank screenThe HRM device ID has not been registered on the HRV Health Platform. Login at https://hrvhealth.org/login.php#tabs-2 and add the device ID: on the menus Metrics->User setup->HRM device add.
The time on the readings is out by an hour.The system is set up to adjust by an hour for daylight savings. In those countries that do not have daylight savings, the readings are out by an hour during winter.
The results are very unusual with an RMSSD of over 300. The Poincaré plot is widely dispersed.Take an ECG reading. If this is normal, check the battery status using the Polar Beat app. If the battery is low, replace the battery and take another reading.
The registration has been successful, but unable to take ECG or HRV readings.We have been working with Polar on this issue. This investigation has uncovered worldwide marketing of non-Polar devices acting as Polar heart rate monitors. You are requested to contact Polar customer care at: customercare@polar.com with the subject: Illegal Polar device. They will assist you in resolving this problem.

HRV Health ECG
ProblemSolution
The Pulse rate/Streams On button does not change colourCheck that the heart rate monitor is registered on the iOS device, and that the app has been restarted after registration.
The Pulse rate/Streams On button does not change colourCheck that you are wearing the heart rate monitor.
Pressed start reading and nothing happensThe Start reading button must be Blue to start readings. If it is not, start reading. The button will change to Blue. Press Start reading.
The device is registered, the app has been restarted, the buttons do not change colour when pressedTry using the HRV Health Basic app. Register the HRM on the Basic app, restart the app, and press Start reading.
The HRV Health Basic app is also not workingLoad the Polar Beat app, and test whether that connects to the heart rate monitor.
The Polar Beat app connects to the HRM, but both HRV Health Apps do notContact our technical support, please.
The HRM does not connect to the HRV Health apps and does not connect to the Polar Beat appRequest a replacement of the Polar heart rate monitor
HRV data not uploaded to systemCheck that the iOS device is connected to the Internet press the Start reading button.
New HRV reading does not appear on systemCheck that the iOS device is connected to the Internet, and click the New reading button. The haptic feedback will confirm that a new reading has been registered.
Results do not appear for the reading.On the HRV data screen, make sure that the Select checkbox is ticked, and click the Update button.
No readings.Is the HRM correctly attached to the chest.
There is no haptic tap when the reading starts or when it ends.Check that haptics are enabled in the iOS settings.
Haptics are enabled, but there is still no haptic feedback when readings are taken.Check that the device is connected to the Internet.
No readingsCheck that the bluetooth for HRV Health has been enabled in your phone settings.
No readingsIf you are using an iOS device, check that the app is communicating with the platform. After clicking start reading, the platform confirms the connection, and the iOS device gives haptic feedback.
The results appear to be wrongIf a reading appears to be incorrect, check that the # data points column is between 118 and 120. If it is not, take a new reading.
The results appear to be wrongLook at the resting heart rate and the HRV heart rate. If this differs by more than 5, take a new reading.
The results appear to be wrongLook at the respiration rate. If this is above 12, take a new reading, breathing slowly.
RHR pulse rate is higher than normal, respiration rate it higher than normal, feeling fine, but the results are lower than normal.This is a sign that you are potentially fighting an illness. Do not do any strenuous exercise, and look for other symptoms that you are not feeling well. Take a second reading.
Pressing the Results button produces a blank screenThe HRM device ID has not been registered on the HRV Health Platform. Login at https://hrvhealth.org/login.php#tabs-2 and add the device ID: on the menus Metrics->User setup->HRM device add.
Some of the buttons are yellow from the previous readingOn completion of a reading, the buttons should be restored to the Off state (Blue). Restart the app on the iOS device to restore the startup condition.
The time on the readings is out by an hour.The system is set up to adjust by an hour for daylight savings. In those countries that do not have daylight savings, the readings are out by an hour during winter.
The heart rate jumps around, and is inconsistentThis occurs with users of older iPhones. It does not have any impact on the data. If this bothers you, use the HRV Health Basic app.
The results are very unusual with an RMSSD of over 300. The Poincaré plot is widely dispersed.Take an ECG reading. If this is normal, check the battery status using the Polar Beat app. If the battery is low, replace the battery and take another reading.
The ECG reading appears to be inverted, with the spike going downwards instead of upwards.The Polar heart rate monitor is upside down. Please remove the device from the strap, and replace it on the strap with the device ID on top, and Polar logo right way up.
The registration has been successful, but unable to take ECG or HRV readings.We have been working with Polar on this issue. This investigation has uncovered worldwide marketing of non-Polar devices acting as Polar heart rate monitors. You are requested to contact Polar customer care at: customercare@polar.com with the subject: Illegal Polar device. They will assist you in resolving this problem.
The ECG reading does not work.The ECG reading only works with the Polar H10 heart rate monitor. It does not work with the Polar H9.

Research list
IDTitleConclusionAuthorsDownload
1 Heart rate variability Standards of measurement, physiological interpretation, and clinical useThe phenomenon that is the focus of this report is the oscillation in the interval between consecutive heart beats as well as the oscillations between consecutive instantaneous heart rates. ‘Heart Rate Variability’ has become the conventionally accepted term to describe variations of both instantaneous heart rate and RR intervals. In order to describe oscillation in consecutive cardiac cycles, other terms have been used in the litera- ture, for example cycle length variability, heart period variability, RR variability and RR interval tachogram, and they more appropriately emphasize the fact that it is the interval between consecutive beats that is being analysed rather than the heart rate per se. However, these terms have not gained as wide acceptance as HRV, thus we will use the term HRV in this document.Task Force of The European Society of Cardiology, The North American Society of Pacing and ElectrophysiologySelect
2 Measurement of Heart Rate Variability: A Clinical Tool or a Research Toy?Before the measurement of HR variability can be applied to clinical practice and used to direct therapy, more precise insight into the pathophysiological link between HR variability and mortality are needed. Further studies should also address the issue of which of the HR variability indexes, including the new nonlinear measures, is best for clinical purposes in various patient populations.Heikki V. Huikuri, Timo Ma ̈kikallio, K. E. Juhani Airaksinen, Raul Mitrani, Agustin Castellanos, Robert J. MyerburgSelect
3 THE SOCIAL READJUSTMENT RATING SCALEIt has been adduced from these studies that this clustering of social or life events achieves etiologic significance as a necessary but not sufficient cause of illness and accounts in part for the time of onset of disease. Methodologically, the interview or questionnaire technique used in these studies has yielded only the number and types of events making up the cluster. Some estimate of the magnitude of these events is now required to bring greater precision to this area of research and to provide a quantitative basis for new epidemiological studies of diseases. This report defines a method which achieves this requisite. THOMAS H. HOLMES, RICHARD H. RAHESelect
4 Reduced Heart Rate Variability and New-Onset HypertensionHRV is reduced in men and women with systemic hypertension. Among normotensive men, lower HRV was associated with greater risk for developing hypertension. Estimation of LF using spectral analysis of ambulatory ECG recordings improves the prediction of risk of hypertension in men above that which can be obtained from measurements of baseline systolic and diastolic blood pressures, body mass index, and age. These findings are consistent with the hypothesis that autonomic dysregulation is present in the early stage of hypertension.Jagmeet P. Singh, Martin G. Larson, Hisako Tsuji, Jane C. Evans, Christopher J. O’Donnell, Daniel LevySelect
5 Short-Term Heart Rate Variability—Influence of Gender and Age in Healthy SubjectsFurthermore, there were significant modifications according to age in nearly all of the domains. The gender differences disappeared within the last two age decades and the age dependencies disappeared in the last decade. To summarize gender and age influences need to be considered when performing HRV studies even if these influences only partly differ.Andreas Voss,Rico Schroeder,Andreas Heitmann,Annette Peters,Siegfried PerzSelect
6 Twenty-Four Hour Time Domain Heart Rate Variability and Heart Rate: Relations to Age and Gender Over Nine DecadesConclusions. 1) Using all measures, HRV of healthy subjects declines with aging, with measure-dependent patterns. 2) Using the SDNN index, rMSSD and pNN50, HRV of healthy subjects, particularly those >65 years old, may decrease to below levels associated with increased risk of mortality. 3) Gender influences HRV. Gender differences in HRV are age and measure dependent. 4) Age and gender also affect heart rate.KEN UMETANI MD,DONALD H. SINGER MD FACC, ROLLIN MCCRATY MS, MIKE ATKINSONSelect
7 Resting Pulse Rate Reference Data for Children, Adolescents, and Adults: United States, 1999–2008Conclusions—The data provides current, updated population-based percentiles of RPR, which is one of the key vital signs routinely measured in clinical practice.Yechiam Ostchega Ph.D. R.N., Kathryn S. Porter M.D. M.S., Jeffery Hughes M.P.H., Charles F. Dillon M.D. Ph.D., Tatiana Nwankwo M.SSelect
8 Low Heart Rate Variability in a 2-Minute Rhythm Strip Predicts Risk of Coronary Heart Disease and Mortality From Several Causes The ARIC StudyLow HRV was associated with increased risk of CHD and death from several causes. It is hypothesized that low HRV is a marker of less favorable health.Jacqueline M. Dekker, PhD; Richard S. Crow, MD; Aaron R. Folsom, MD, MPH; Peter J. Hannan, MStat; Duanping Liao, MD, PhD;Cees A. Swenne, PhD; Evert G. Schouten, MD, PhDSelect
9 An Overview of Heart Rate variability Metrics and NormsThe authors survey published normative values for clinical, healthy, and optimal performance populations. They stress the importance of measurement context, including recording period length, subject age, and sex, on baseline HRV values. They caution that 24 h, short-term, and ultra-short-term normative values are not interchangeable. They encourage professionals to supplement published norms with findings from their own specialized populations. Finally, the authors provide an overview of HRV assessment strategies for clinical and optimal performance interventions.Fred Shaffer, J. P. GinsbergSelect
10 The Social Readjustment Rating ScaleThis Social Readjustment Rating Scale was created by Thomas Holmes & Richard Rahe, University of Washington School of Medicine, in the late 1960s to provide a standardized measure of the impact of a wide range of common stressors. Using the Scale To use the scale, simply add up the values for all of the listed life events that have occurred to you within the past year. If a particular event has happened to you more than once within the last 12 months, multiply the value by the number of occurrences. Enter your value total at the end of the list. The Scale Each life event is assigned a value in arbitrary “life changing units” chosen to reflect the relative amount of stress the event causes in the population studied. Stress is cumulative, so to estimate the total stress you are experiencing, add up the values corresponding to the events that have occurred in your life over the past year. Thomas Holmes, Richard RaheSelect
11 Effects of age and physical activity on the autonomic control of heart rate in healthy menThe interaction between aging and life-style effects had a P < 0.05. These results suggest that aging reduces HR variability. However, regular physical activity positively affects vagal activity on the heart and consequently attenuates the effects of aging in the autonomic control of HR.R C Melo, M D B Santos, E Silva, R J Quitério, M A Moreno, M S Reis, I A Verzola, L Oliveira, L E B Martins, L Gallo-Junior, A M CataiSelect
12 Heart-rate variability: a biomarker to study the influence of nutrition on physiological and psychological health?Aspects of diet that are viewed as undesirable, for example high intakes of saturated or trans-fat and high glycaemic carbohydrates, have been found to reduce HRV. It is argued that the consistent relationship between HRV, health and morbidity supports the view that HRV has the potential to become a widely used biomarker when considering the influence of diet on mental and physical health.Hayley A Young, David BentonSelect
13 An Overview of Heart Rate Variability Metrics and NormsThe authors survey published normative values for clinical, healthy, and optimal performance populations. They stress the importance of measurement context, including recording period length, subject age, and sex, on baseline HRV values. They caution that 24 h, short-term, and ultra-short-term normative values are not interchangeable. They encourage professionals to supplement published norms with findings from their own specialized populations. Finally, the authors provide an overview of HRV assessment strategies for clinical and optimal performance interventions.Fred Shaffer, J. P. GinsbergSelect
14 Possible mechanisms of sudden cardiac death in top athletes: a basic cardiac electrophysiological point of viewUnless autopsy findings establish the exact cause of sudden cardiac death in an athlete beyond any doubt, the reasons should be sought in repolarization abnormalities rather than in an unconfirmed ischemic origin. Accordingly, more attention should be paid to noninvasive cardiac electrophysiological investigations during preventive sports medicine activities and to the theoretical and practical cardiac electrophysiological postgraduate training of sports doctors. Importantly, unexpected and unexplained syncopes in the anamnesis of athletes should be taken seriously and thoroughly investigated.András Varró, István BaczkóSelect
15 Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021Among 4,899,447 hospitalized adults in PHD-SR, 540,667 (11.0%) were patients with COVID-19, of whom 94.9% had at least 1 underlying medical condition. Essential hypertension (50.4%), disorders of lipid metabolism (49.4%), and obesity (33.0%) were the most common. The strongest risk factors for death were obesity (adjusted risk ratio [aRR] = 1.30; 95% CI, 1.27–1.33), anxiety and fear-related disorders (aRR = 1.28; 95% CI, 1.25–1.31), and diabetes with complication (aRR = 1.26; 95% CI, 1.24–1.28), as well as the total number of conditions, with aRRs of death ranging from 1.53 (95% CI, 1.41–1.67) for patients with 1 condition to 3.82 (95% CI, 3.45–4.23) for patients with more than 10 conditions (compared with patients with no conditions).Kompaniyets L, Pennington AF, Goodman AB, Rosenblum HG, Belay B, Ko JY, et al.Select
16 Comparing SARS-CoV-2 natural immunity to vaccine-induced immunity: reinfections versus breakthrough infectionsThis study demonstrated that natural immunity confers longer lasting and stronger protection against infection, symptomatic disease and hospitalization caused by the Delta variant of SARS-CoV-2, compared to the BNT162b2 two-dose vaccine-induced immunity. Individuals who were both previously infected with SARS-CoV-2 and given a single dose of the vaccine gained additional protection against the Delta variant.Sivan Gazit MD MA12*, Roei Shlezinger BA1, Galit Perez MN MA2, Roni Lotan PhD Asaf Peretz MD Amir Ben-Tov MD Dani Cohen PhD4 Khitam Muhsen PhD, Gabriel Chodick PhD MHA, Tal Patalon MDSelect
17 healthy heart is not a metronome: an integrative review of the heart's anatomy and heart rate variabilityThe authors conclude that a coherent heart is not a metronome because its rhythms are characterized by both complexity and stability over longer time scales. Future research should expand understanding of how the heart and its intrinsic nervous system influence the brain.Fred Shaffer, Rollin McCraty, Christopher L. ZerrSelect
18 Hypertension and physical exercise: The role of oxidative stressPhysical exercise and especially aerobic training can be suggested as an effective intervention in the prevention and treatment of hypertension and cardiovascular disease via reduction in oxidative stress.Monica Korsager Larsen, Vladimir V. MatchkovSelect
19 RESTING HEART RATE VARIABILITY AS A POSSIBLE MARKER OF COGNITIVE DECLINESignificant correlations in each cognitive function were found, except for processing speed, suggesting a positive association between resting HRV and cognitive performance. Mechanisms underlying this association between cardiovascular health and cognition are discussed. For the future, HRV could be used in diagnostics as an indicator of cognitive impairment before symptoms of dementia get apparent. With a timely diagnosis, preventative tools could be initiated at an early stage of dementia.Bernhard Grässler, Anita Hökelmann, Richard Halti CabralSelect
20 Heart rate variability – a historical perspectiveWith the measurement of the ECG (1895) and advent of digital signal processing techniques in the 1960s, investigation of HRV and its relationship to health and disease has exploded. This essay will conclude with a brief description of time domain, frequency domain, and non-linear dynamic analysis techniques (and their limitations) that are commonly used to measure HRV.George E. BillmanSelect

Research

This page lists the 20 most relevant papers covering the topic of Heart rate variability.

Healthcare costs
IDCodeCountry% GDP 2021Per cap 2021% GDP 2020Per cap 2020% GDP
2019
Per cap
2019
% GDP
2018
Per cap
2018
% GDP
2017
Per cap
2017
1 USUnited States1712,012.001911,758.001710,658.001710,281.00179,903.00
2 CHSwitzerland1210,897.001210,085.00119,341.00119,212.00119,120.00
3 NONorway109,021.00117,704.00108,007.00108,272.00107,816.00
4 MCMonaco48,634.0047,812.0047,731.0047,848.0047,220.00
5 LULuxembourg67,636.0066,786.0056,222.0056,227.0055,713.00
6 DKDenmark117,382.00116,442.00106,059.00106,233.00105,834.00
7 AUAustralia117,055.00115,959.00105,546.00105,857.00105,814.00
8 SESweden116,901.00116,003.00115,653.00116,005.00115,838.00
9 IEIreland76,764.0076,098.0075,463.0065,187.0075,010.00
10 ISIceland106,716.00105,652.0095,865.0086,234.0085,945.00
11 DEGermany136,626.00135,936.00125,487.00115,511.00115,070.00
12 NLNetherlands116,539.00115,858.00105,341.00105,331.00104,935.00
13 ATAustria126,505.00115,567.00105,263.00105,337.00104,939.00
14 CACanada126,470.00135,668.00115,116.00115,080.00114,921.00
15 GBGreat Britain (UK)125,738.00124,906.00104,269.00104,226.00103,911.00
16 BEBelgium115,680.00115,104.00115,050.00115,177.00114,783.00
17 FIFinland105,488.00104,736.0094,460.0094,522.0094,236.00
18 FRFrance125,381.00124,755.00114,504.00114,667.00114,411.00
19 NZNew Zealand (Aotearoa)104,906.00104,223.0094,086.0093,958.0093,904.00
20 JPJapan114,347.00114,436.00114,463.00114,288.00114,148.00
21 ILIsrael84,339.0083,637.0073,354.0073,220.0073,094.00
22 SMSan Marino84,132.0083,843.0083,854.0084,013.0083,707.00
23 SGSingapore63,970.0063,368.0042,826.0042,642.0042,599.00
24 MTMalta113,642.00113,135.0092,944.0092,754.0092,552.00
25 ADAndorra83,506.0093,269.0073,027.0073,164.0072,873.00
26 ITItaly93,350.00103,062.0092,911.0093,003.0092,810.00
27 KRKorea (South)93,260.0082,648.0082,606.0072,501.0072,221.00
28 ESSpain113,234.00112,899.0092,717.0092,741.0092,525.00
29 CYCyprus92,990.0082,362.0072,093.0072,021.0071,773.00
30 SISlovenia92,775.0092,417.0082,219.0082,170.0081,925.00
31 PTPortugal112,747.00112,346.00102,222.0092,216.0091,998.00
32 CZCzech Republic92,499.0092,119.0081,803.0071,753.0071,525.00
33 AEUnited Arab Emirates52,352.0062,192.0041,990.0041,915.0041,726.00
34 EEEstonia72,095.0081,789.0071,599.0071,553.0071,350.00
35 PWPalau162,045.00142,059.00132,102.00132,073.00132,037.00
36 BSBahamas71,962.0081,825.0061,899.0061,899.0072,076.00
37 QAQatar31,934.0041,998.0032,012.0031,963.0031,908.00
38 NUNiue141,912.0091,319.0071,157.0081,325.0091,223.00
39 LVLatvia91,898.0071,313.0071,183.0061,101.006933.00
40 KWKuwait61,861.0061,542.0051,644.0051,661.0051,361.00
41 LTLithuania81,859.0071,520.0071,370.0071,249.0061,083.00
42 GRGreece91,846.00101,675.0081,569.0081,603.0081,510.00
43 SKSlovak Republic81,685.0071,394.0071,342.0071,300.0071,189.00
44 UYUruguay91,620.0091,427.0091,677.0091,697.0091,656.00
45 NRNauru131,530.00131,318.00121,159.00111,176.00111,093.00
46 CLChile91,518.00101,281.0091,369.0091,457.0091,368.00
47 SASaudi Arabia61,442.0071,356.0051,280.0051,291.0061,261.00
48 PAPanama101,415.00111,358.0081,340.0081,228.0071,128.00
49 BBBarbados81,400.0071,239.0061,172.0061,174.0071,186.00
50 HRCroatia (Hrvatska)81,384.0081,095.0071,040.0071,025.007903.00
51 HUHungary71,382.0071,173.0061,054.0071,080.007985.00
52 PLPoland61,159.0061,026.0061,014.006979.007910.00
53 BHBahrain41,146.0051,105.0041,024.0041,049.0051,099.00
54 TTTrinidad and Tobago71,125.0081,046.0071,072.0071,056.0071,059.00
55 KNSaint Kitts and Nevis61,114.0061,051.0051,204.0051,103.0051,168.00
56 TVTuvalu201,071.0019879.00221,109.0019820.00241,014.00
57 ARArgentina101,045.0010895.00101,016.00101,216.00101,495.00
58 BGBulgaria91,040.008857.007698.007690.007625.00
59 MVMaldives101,039.0011826.008852.007805.009933.00
60 MEMontenegro11985.0011866.008732.008727.008612.00
61 RORomania6963.006810.006739.006687.005555.00
62 CRCosta Rica8949.008953.007915.007902.007854.00
63 RURussian Federation7936.008771.006654.005609.005580.00
64 AGAntigua and Barbuda6923.006876.004802.005850.005785.00
65 RSSerbia10919.009670.009641.009617.008516.00
66 OMOman4853.005855.004728.003639.004704.00
67 MHMarshall Islands13767.0013707.0015782.0015737.0014646.00
68 BRBrazil10761.0010705.0010850.009863.009937.00
69 CKCook Islands4737.004607.003575.003558.003556.00
70 SCSeychelles5718.007782.005770.005785.005737.00
71 BNBrunei Darussalam2693.002650.002675.002754.002640.00
72 BABosnia and Herzegovina10692.0010591.009544.009528.009470.00
73 CNChina5671.006583.005540.005505.005441.00
74 AMArmenia12613.0012552.0011549.0010439.0010419.00
75 MXMexico6611.006539.005553.005531.005515.00
76 LCSaint Lucia6585.007574.004491.004484.004493.00
77 ZASouth Africa8584.009492.008551.008570.008537.00
78 MUMauritius6565.006569.006671.006642.006595.00
79 TMTurkmenistan6565.006484.006489.006457.006461.00
80 MKF.Y.R.O.M. (Macedonia)9560.008453.007421.006387.006345.00
81 COColombia9558.009462.008501.008517.008495.00
82 GDGrenada6505.006469.005488.005439.005433.00
83 ECEcuador8494.008472.008484.008495.008471.00
84 MYMalaysia4487.004415.004427.004416.004371.00
85 DMDominica7482.006420.005443.006485.005405.00
86 PYParaguay8479.008411.007416.007421.007406.00
87 GYGuyana5471.006378.005318.005299.004269.00
88 BYBelarus7468.006408.006390.006342.006325.00
89 ALAlbania7465.008397.007368.007351.007297.00
90 BWBotswana6457.006359.006409.006420.007445.00
91 NANamibia9456.009378.008432.008473.009476.00
92 VCSaint Vincent & the Grenadines5448.005402.004369.004357.004338.00
93 SVEl Salvador10442.009354.009377.008345.008336.00
94 TRTurkey (Turkiye)5441.005395.004397.004388.004437.00
95 DODominican Republic5417.005354.004347.004328.004338.00
96 GEGeorgia8417.008355.007309.007332.007304.00
97 PEPeru6412.006388.005367.005363.005333.00
98 MDMoldova8410.007307.006284.007276.007244.00
99 KZKazakhstan4403.004338.003270.003273.003278.00
100 FMMicronesia11393.0011399.0011421.0012422.0012405.00
101 IRIran6393.005338.006378.008478.008467.00
102 JMJamaica7372.007324.006343.006334.006324.00
103 UAUkraine8368.008270.007247.008221.007187.00
104 THThailand5364.004305.004289.004276.004248.00
105 GTGuatemala7341.006289.006279.006266.006265.00
106 MNMongolia7316.005189.004198.005189.004161.00
107 BZBelize5310.005280.005299.005288.005282.00
108 LBLebanon10307.008522.009782.008745.008677.00
109 SRSuriname6299.007464.009612.007450.005325.00
110 JOJordan7299.007285.007294.007290.007290.00
111 SZSwaziland7280.007223.007275.007266.007267.00
112 TOTonga6279.005247.005230.005219.005213.00
113 BOBolivia8273.008246.007239.007229.006213.00
114 TNTunisia7265.007247.006210.006212.006221.00
115 WSSamoa7264.006253.006240.005198.005218.00
116 KIKiribati15262.0017239.0013177.0013208.0011179.00
117 GQEquatorial Guinea3256.004247.003232.003249.003231.00
118 HNHonduras9254.009213.007184.007178.007168.00
119 FJFiji5250.005232.004254.004249.003186.00
120 IQIraq5249.006245.004240.004231.004196.00
121 AZAzerbaijan5249.006243.004197.004178.004165.00
122 CVCape Verde7248.006196.005172.005179.005165.00
123 GAGabon3234.003228.003208.003211.003194.00
124 MAMorocco6221.006193.005177.005175.005166.00
125 DZAlgeria6205.006206.006236.006266.007266.00
126 PHPhilippines6203.005166.004142.004126.004122.00
127 NINicaragua10198.009161.009162.008168.008177.00
128 STSao Tome and Principe8186.007159.005106.006108.006116.00
129 EGEgypt5180.004151.005145.005120.005108.00
130 VNViet Nam5173.004154.005174.005164.005149.00
131 LKSri Lanka4166.004158.004160.004159.003146.00
132 IDIndonesia4161.003133.003119.003112.003112.00
133 VEVenezuela4160.004153.002113.002165.0000.00
134 UZUzbekistan8157.007121.00599.00582.00593.00
135 TPEast Timor11135.0010121.00679.00679.00787.00
136 VUVanuatu4133.004117.003102.003102.00384.00
137 KHCambodia8122.007112.007114.00693.00679.00
138 BTBhutan4120.004134.004115.003102.003103.00
139 LSLesotho10115.001097.0012130.0011131.0011115.00
140 LRLiberia17112.0017101.00852.001069.001073.00
141 SBSolomon Islands5106.005107.004104.00492.00495.00
142 GHGhana4100.00487.00493.00483.00475.00
143 KMComoros699.00689.00578.00574.00575.00
144 KEKenya595.00487.00486.00476.00467.00
145 MRMauritania489.00363.00361.00356.00354.00
146 DJDjibouti388.00263.00262.00264.00266.00
147 NGNigeria484.00370.00370.00366.00473.00
148 CICote D'Ivoire (Ivory Coast)382.00485.00374.00371.00369.00
149 CGCongo481.00481.00359.00248.00353.00
150 AFAfghanistan2281.001680.001574.001471.001367.00
151 ZMZambia775.00660.00786.00570.00572.00
152 INIndia374.00364.00361.00358.00357.00
153 TJTajikistan873.00870.00762.00760.00758.00
154 KGKyrgyzstan573.00564.00463.00567.00678.00
155 SNSenegal471.00577.00466.00466.00458.00
156 LALaos369.00252.00368.00257.00362.00
157 GWGuinea-Bissau869.00968.00754.00759.00755.00
158 MMMyanmar665.00572.00562.00560.00559.00
159 NPNepal565.00558.00453.00550.00549.00
160 AOAngola364.00355.00265.00384.003113.00
161 CMCameroon464.00458.00456.00458.00350.00
162 ZWZimbabwe363.00351.00355.005115.00692.00
163 PGPapua New Guinea261.00256.00260.00259.00256.00
164 RWRwanda760.00758.00651.00752.00648.00
165 HTHaiti358.00344.00449.00462.00454.00
166 BDBangladesh258.00251.00248.00245.00242.00
167 BFBurkina Faso657.00754.00541.00539.00643.00
168 TGTogo654.00654.00650.00654.00653.00
169 MWMalawi747.00743.00742.00737.00838.00
170 MZMozambique945.00834.00840.00841.00836.00
171 GNGuinea445.00442.00443.00435.00433.00
172 PKPakistan343.00338.00337.00341.00343.00
173 SLSierra Leone943.00946.00946.00843.00946.00
174 CFCentral African Republic943.00940.00834.001149.00728.00
175 UGUganda543.00437.00433.00433.00431.00
176 MLMali440.00329.00432.00432.00429.00
177 TZTanzania337.00331.00440.00441.00439.00
178 TDChad536.00636.00531.00532.00531.00
179 BJBenin335.00231.00329.00334.00329.00
180 NENiger634.00635.00631.00530.00629.00
181 SSSouth Sudan633.00948.00935.001030.001627.00
182 ETEthiopia326.00329.00326.00324.00325.00
183 GMGambia325.00426.00323.00323.00321.00
184 EREritrea425.00425.00526.00424.00422.00
185 BIBurundi924.001127.00923.00719.00720.00
186 CDCongo, Democratic Republic422.00421.00420.00318.00419.00
187 SDSudan322.00323.00536.00436.00671.00
188 MGMadagascar418.00417.00316.00422.00524.00
189 MOMacau00.0000.0000.0000.0000.00
190 VIVirgin Islands (U.S.)00.0000.0000.0000.0000.00
191 PRPuerto Rico00.0000.0000.0000.0000.00
192 KYCayman Islands00.0000.0000.0000.0000.00
193 HKHong Kong00.0000.0000.0000.0000.00
194 AWAruba00.0000.0000.0000.0000.00
195 IMIsle of Man00.0000.0000.0000.0000.00
196 TCTurks and Caicos Islands00.0000.0000.0000.0000.00
197 VGBritish Virgin Islands00.0000.0000.0000.0000.00
198 NCNew Caledonia00.0000.0000.0000.0000.00
199 LYLibya00.0000.0000.0000.0000.00
200 CUCuba140.00121,186.00111,013.0011973.0011980.00
201 GLGreenland00.0000.0000.0000.0000.00
202 SOSomalia00.0000.0000.0000.0000.00
203 YEYemen00.0000.0000.0000.0000.00
204 FOFaroe Islands00.0000.0000.0000.0000.00
205 PFFrench Polynesia00.0000.0000.0000.0000.00
206 MPNorthern Mariana Islands00.0000.0000.0000.0000.00
207 GIGibraltar00.0000.0000.0000.0000.00
208 SYSyria00.0000.0000.0000.0000.00
209 BMBermuda00.0000.0000.0000.0000.00
210 ASAmerican Samoa00.0000.0000.0000.0000.00
211 KPKorea (North)00.0000.0000.0000.0000.00
212 LILiechtenstein00.0000.0000.0000.0000.00
213 XKKosovo00.0000.0000.0000.0000.00
214 PSPalestinian Territory, Occupied00.0000.0000.0000.0000.00
215 GUGuam00.0000.0000.0000.0000.00


Sources:

Current health expenditure per capita, PPP (current international $)

World Health Organisation: Global Health Expenditure Database

HRV Health Services

Heart rate variability (HRV) and resting heart rate (RHR) that are clinically proven metrics of health status and fitness. Using HRV Health's iOS and Android apps, allows users to measure their health every day.

The HRV Health free user services include:

  • Measurement of HRV
  • Measurement of RHR
  • Measurement of physiological and cognitive stress
  • HRSS Stress tests
  • Data screens and and graphs showing trends
  • User data downloads via email
  • HRV status level to the user's insurers (only with the user's permission)
  • Screen access for user's doctors and family (only with the user's permission)

Note:
The user's permission for data sharing with their insurer is only permitted once the user enters their insurance membership number onto the HRV platform.
Screen access to doctor and family is fully within the user's control, and once granted, can be instantly revoked by the user at any time.

The basic service to Health Insurers includes:

  • API giving access to the result data for their policyholders who have granted permission for their data to be provides to the insurer
  • Validation of policyholder policy number when granting approval
HRV Health Cloud

The premium service to Health Insurers includes:

  • API giving access to the result data for their policyholders who have granted permission for their data to be provides to the insurer
  • Validation of policyholder policy number when granting approval
  • Alerts to insurers of policyholders who are in breach of HRV policy rules
  • Alerts to policyholders when they are in breach of HRV policy rules
  • Alerts to policyholders when their health status or fitness level puts them at risk od losing HRV Health policy benefits
  • Statistics of HRV & RHR trends among policyholders
  • Statistics of HRV & RHR trends among policyholder groups
  • Bespoke analysis of policyholder data

The objective of the pilot study is to conduct a trial during which the insurer can see the benefits of HRV Health.

  • Methodology
    • The insurer provides a group of volunteers (participants) who will use the HRV systems for a one month period
    • The insurer provides each participants with a Polar H10 heart rate monitor (HRM)
    • Each participant registers on the HRV Platform (the platform) and including registering their HRM device ID
    • Each participant installs the HRV Health app (the app) on their mobile device, and registers their HRM device ID on the app
    • Readings take approximately three minutes each mornings before eating, drinking any beverage, or any activity
    • For the duration of the field study (the duration), participants will take HRV readings daily, following best practice
    • Participants who fail to take readings daily will receive reminders
    • The insurer will receive notification of participants who fail to take daily readings
  • Reports
    • After one week, HRV Health will provide the insurer with a report, setting out details of the relative health and fitness of each of the participants
    • On completion of the field study, HRV Health will provide the insurer with a report setting out details of improvement/ deterioration in the health and fitness of each of the participants, and whether they are maintaining a healthy lifestyle
    • After providing the report, HRV Health will obtain confirmation from the participants of the accuracy of their findings, and provide this feedback to the insurer
  • Cost
    • The cost of the HRMs is for the insurer
    • The one month field is offered free of charge
    • Extended field studies of more than one month will be chargeable, at negotiable rates

The literature guidance to employees of corporate users includes:

  • Providing links to to HRV Health blogs that answers the user's question
  • Providing research literature that explains the science behind HRV
  • Answering user questions about data issues

The user feedback to employees of corporate users includes:

  • Reviewing requests from users to look at their data and provide assistance in understanding the data
  • Capacity building through user interaction, providing them with explanations on interpreting the graphs and data
  • Providing links to to HRV Health blogs that answers the user's question
  • Providing research literature that explains the science behind HRV
  • Answering user questions about data issues

Training corporate HRV specialists includes:

  • Training two corporate HRV specialists how to interpret HRV results and support users
  • Providing the specialists with guidance on unusual results
  • Training the specialists on how to communicate findings to users
  • Providing links to to HRV Health blogs that answers the specialists questions
  • Providing research literature that explains the science behind HRV
  • Answering specialists queries resolving user questions about data issues


HRV Health Team

Meet the team:

The founder: Roy Reto Dalle Vedove BAcc MBA

Roy R Dalle Vedove

Roy is a forensic accountant specialising in big data. He spent a good deal of his career developing algorithms, particularly in insurance, that enriched his clients.

On moving to Switzerland, he discovered that not only is health insurance mandatory and exorbitant, it does not follow the basic insurance principle that higher risk carries a higher premium.

To say that Roy is low risk is understatement. He cycles daily, and has the resting heart rate (RHR) of an athlete, just below 40bpm.

Early in 2020, he started a conversation with his health insurer about using RHR to categorise the risk profile of policyholders. They agreed. Nothing happened.

Then he discovered heart rate variability (HRV). At first it started as an academic exercise. The research uncovered that HRV has been used for decades as a health measure, and that the international standards for the metrics were established in 1996.

His own experience with HRV and RHR  proved that the efficacy of the technology.

“We have the data to determine which percentile of health and fitness a person is in, relative to the population.” he says.

Now he’s talking to health insurers globally about using RHR and HRV to reward customers who adopt a healthy lifestyle.

When asked what he’ll do if the insurers don’t employ the idea, he’s coy. “We have a plan B”.

Healthcare costs
IDFeatureBenefitLink
1 Users can give their doctors real-time access to the user's ECG readingsNo matter where the user is, their doctor can instantly see their patient's heart condition.Select
2 Measures heart rate variability (HRV)User can see health status.Select
3 Members can subscribe to special healthcare insurance policies that reward them for positive lifestyle choices.Policyholders can significantly reduce their health insurance costs through proactive health insurance policies that reward them for lifestyle choices that their HRV and RHR data confirm is leading to improved health.Select
4 Users are now able to take ECG readings with the Polar H10 heart rate monitor and the HRV Health Pro app.Users can obtain accurate ECG data data, and provide their doctors with instant results.Select
5 Users have a visual interpretation of their ECG readings.Users have an instant visual interpretation of their health status of their heart, at no cost.Select
6 The recovery system provides a recommendation of whether athletes are fully recovered and ready for a strenuous workout, or not.Athletes can maximise training benefit, ensuring that they are properly recovered before undertaking an intense workout.Select
7 Medical professionals, health insurers, family members and friends who are granted the user's permission can view the users data.Medical professionals and health insurers can see trends and provide informed advice. Friends and family members can observe how the user is progressing, especially when they suffer from a chronic condition, or are recovering from a severe illness, providing much needed support.Select
8 Measures stress.User can see their stress levels, and can take steps to ameliorate stress by exercising, listening to music, having a massage, doing pilates or yoga, having for a walk, or going on holiday.Select
9 Heart rate variability (HRV) and blood pressure graph.Users can see trends in HRV and blood pressure. They are able to see whether there is possible onset of illness.Select
10 Friends and family can give the user kudos.Users have visual feedback of the support that they have from friends and family, whether they are working towards a healthier lifestyle, or recovering from illness.Select
11 The HRV Health AI system interprets daily results and provides users with meaningful feedback about what their numbers mean. Users have an instant understanding of what the results mean.Select
12 HRV Health is able to place the user's health and fitness results into percentiles of the population.Users have a solid basis on which to compare their results. Health insurers have a yardstick by which they can calculate reward systems for policyholders who adopt a healthy lifestyle.Select
13 User's have a complete list of all the people whose data they have been granted access to view.Medical professionals, family members, friends and health insurers can view the results of people whom they care about, or who are under their professional care.Select
14 The user can request to be alerted when trends develop that require attention.Users are automatically alerted when their data reveals issues that need attention. Health insurers will also be alerted that their policyholders require intervention. Select
15 Users can make comments explaining the circumstances of the results on display.Users can identify behaviours the affect their health, and can take steps towards a healthier lifestyle.Select
16 Health professionals and insurers who are granted access can see which percentile the user falls, providing a real assessment of the users health and fitness.Health insurers are able to see that their policy holder are taking active steps to a healthier life, and can reward them accordingly.Select
17 User's can grant rights for people to view their data by simply adding the user's registered email address.User's can allow family members, medical professionals, and health insurers to view their data. User's have direct control.Select
18 Allows user to record blood pressure.Gives user a digital record of blood pressure, offering another indicator of stress levels to compare to HRV stress resultsSelect
19 User can export all their data and have it automatically sent to themselves.Allows user to retain an independent record of HRV data and results.
Data can be sent to doctors and independent professionals for assessment. This allows users to import their data into the Kubios application.
Select
20 Users have a list of people who are permitted to view their data.Users can see who is able to view their data, and can revoke rights instantly.Select
21 Rights to view user's data can be instantly revoked.User have complete control over who can see their data. Revoking of rights is instantaneous.Select
22 The science behind heart rate variability is firmly established and supported by a vast body of research by leading scientists and academics. The health, fitness and stress results are reliable and and have a solid basis in science.Select
23 There are graphs of the user's HRV, Poincaré plot, health, stress, and ECG.Users have graphs of the trends in their critical HRV data, providing them with a visual representation of the data, making it easy to see the progress they are making, and identify events affected their health.Select
24 Measures resting heart rate.Determines level of fitness and can be an indicator of a pending health concern.Select
25 The user and supporting professionals are able to see the raw HRV data.User and supporting professionals can view the raw data and see whether there are any anomalies in the data.Select
26 User able to archive readings.Extra Readings can be retained, while being removed from the data that is used to assess trends, preventing anomalies from distorting the results and trends.Select
27 The is a simple app manual to guide users through setting up the communication between the app, the heart rate monitor, and the HRV Health platform.The app is simple, but accomplishes the complex task of obtaining the raw HRV data from the Polar H10 heart rate monitor, and then uploading it to the platform. Setting the devices so that taking readings is simple and secure requires that the setup is done properly. The manual guides users through this, making it a painless exercise.Select
28 People who have been given access to view their client or patient's data can save and print and save the data in PDF formProfessionals who are required to maintain records can easily produce a complete report of their patient/ client's data for their records, or for later review.Select
29 User able to remove readings.Readings that have been compromised can be removed, preventing anomalies from distorting the results and trends.Select
30 User can produce a complete list of their readings in PDF format.The complete PDf report of reading allows users to review their results. They can print the report and/or send the results to their medical specialist/doctor.Select
31 Measures respiration rate.Allows user to determine whether reading is taken in calm state. Changes are indicators of a change in health. Together with HRV, increases in respiration rate can indicate health concerns.Select
32 Measures coefficient of variance.Useful measure for athletes to detemine high fitness levels. This requires that the user has collected more than 20 readings before it produces realistic results.Select
33 The reading plot provides a graphical representation of the reading inter-beat intervals.Users can see whether the variation in the IBI is constant, and consistent with their breathing. Select
34 Export HRV readings to Kubios applicationsSelected readings can be exported to the user, and can then be imported into the Kubios application.Select
35 A comprehensive user manual is available for download.Users are able to read about all of the functionality at leisure, without having to worry that anything they might do will impact the security and integrity of their data.Select
36 Results can be updated.Removing and archiving data may have an impact on averages. Updating checks that any anomalies are corrected.Select
37 Users can deregister.This leaves user's data intact, ensuring that their are anonimised. The user no longer has access to the platform using their credentials.Select
38 User can test their stress levels using the SRRS life change units scaleThe tests allow users to establish whether events in their life have the potential of causing life changing illness. The tests also allows users to determine whether events in the past have had a major impact on their health at that time. Select
39 Create a desktop icon for automatic login.Allows the user to email a themself a destop icon which they can use for auto login removing the need to type in their credentials and speeding up access to the system.Select
40 Measures resting heart rate.Allows user to see whether reading was taken in a calm state. Allows user to assess whether results are indicative, or cause for concern.Select
41 Users can join groupsGroup data permits analysis of data at a group level. Teams, companies, and friends can form groups. Analysis of data can be assessed across the group.Select
42 Data is secured using the Polar H10 heart rate monitor device ID.Hardware security protects the users data.Select
43 User can hide reading that have results they would prefer not to see.When a user has a little too much alcohol the night before, this is reflected in the HRV reading. To avoid skipping the reading (which happens) we've now allowed users to hide readings they prefer not to see. That way they still have the data, but not a constant reminder of succumbing to temptation.Select
44 Users can produce a print version of their ECG to forward to their doctor.Transmission of the ECG reading to medical advisors is simple.Select
45 Golden Cheetah users can export their HRV Health data into a file which is sent to their registered email address.Golden Cheetah users can import their HRV Health data into the GC application for analysis with their exercise data.Select
46 Users can delete all their data.Users who are concerned about their privacy can delete all their data. These data cannot be recovered.Select

Instructions

Click the select button to go to the page that contains the benefit.

Feature Link Subscription Free
Measures heart rate variability (HRV)select
Members can subscribe to special healthcare insurance policies that reward them for positive lifestyle choices.select
Measures stress.select
Heart rate variability (HRV) and blood pressure graph.select
HRV Health is able to place the user's health and fitness results into percentiles of the population.select
The user can request to be alerted when trends develop that require attention.select
Users can make comments explaining the circumstances of the results on display.select
Allows user to record blood pressure.select
User can export all their data and have it automatically sent to themselves.select
The science behind heart rate variability is firmly established and supported by a vast body of research by leading scientists and academics. select
There are graphs of the user's HRV, Poincaré plot, health, stress, and ECG.select
Measures resting heart rate.select
The user and supporting professionals are able to see the raw HRV data.select
User able to archive readings.select
The is a simple app manual to guide users through setting up the communication between the app, the heart rate monitor, and the HRV Health platform.select
User able to remove readings.select
User can produce a complete list of their readings in PDF format.select
Measures respiration rate.select
Measures coefficient of variance.select
Export HRV readings to Kubios applicationsselect
A comprehensive user manual is available for download.select
Results can be updated.select
Users can deregister.select
User can test their stress levels using the SRRS life change units scaleselect
Create a desktop icon for automatic login.select
Measures resting heart rate.select
Users can join groupsselect
Data is secured using the Polar H10 heart rate monitor device ID.select
User can hide reading that have results they would prefer not to see.select
Golden Cheetah users can export their HRV Health data into a file which is sent to their registered email address.select
Users can delete all their data.select
Users can give their doctors real-time access to the user's ECG readingsselect
Users are now able to take ECG readings with the Polar H10 heart rate monitor and the HRV Health Pro app.select
Users have a visual interpretation of their ECG readings.select
The recovery system provides a recommendation of whether athletes are fully recovered and ready for a strenuous workout, or not.select
Medical professionals, health insurers, family members and friends who are granted the user's permission can view the users data.select
Friends and family can give the user kudos.select
The HRV Health AI system interprets daily results and provides users with meaningful feedback about what their numbers mean. select
User's have a complete list of all the people whose data they have been granted access to view.select
Health professionals and insurers who are granted access can see which percentile the user falls, providing a real assessment of the users health and fitness.select
User's can grant rights for people to view their data by simply adding the user's registered email address.select
Users have a list of people who are permitted to view their data.select
Rights to view user's data can be instantly revoked.select
People who have been given access to view their client or patient's data can save and print and save the data in PDF formselect
The reading plot provides a graphical representation of the reading inter-beat intervals.select
Users can produce a print version of their ECG to forward to their doctor.select

tasks list
IDTestimonialUserDate
1 Très bonne application qui permet de voir son état de fatigue et de stress. Un bon indicateur de la forme physique et du status de la récupération. Utilisé jour après jour afin de savoir quand lever le pied. Site riche en documentations, très instructif avec un blog très pertinent. Du Swiss made, simplement excellent. Stanstany2023-02-19 19:06:39
2 I've been interested in HRV for some years now but have struggled to find a solution that is cost effective, non-proprietary and one that provides accurate and detailed information to help me take actionable steps to improve my health. Most solutions available on the market are focused on fitness, exercise and training, whereas my interests are much wider than this. The HRV system from HRVHealth.org gives me just that. The HRV system from HRVHealth.org gives me just that. I am able to use my Polar H10 heart rate strap to take daily readings, receiving immediate feedback regarding my HRV score for the day along with lots of other useful, related information such as my stress levels and how my readings compare to the wider population averages. It also allows me to record useful notes so that I can look back on readings and recognise patterns in lifestyle habits and how they impact on my HRV score. It provides an invaluable insight into my health and is a key tool in my 'wellness' armoury!Paul2021-10-07 12:54:04
3 As an amateur athlete I have found HRV to be an invaluable tool in monitoring my health and well-being.
After the initial setup, pairing and taking the reading is fast and simple. The data is easy to understand and the results give me another level of information on whether or not I’ll be in a great place to push myself. An additional bonus is, being highly competitive, I understand the decisions I make effect the HRV results so am constantly questioning the lifestyle decisions I make.
I believe HRV Health is an invaluable resource in documenting my health through heart rate variability and look forward to the long term outcomes.
Pete2021-10-04 19:06:11
4 Sonntag 22.1.2023 Ende Dezember 2021 suchte ich, um meine Leistungen als Ausdauersportler zu verbessern ,eine App.Ich fand dann diese HRV Health App von Roy.Am Anfang war ich sehr skeptisch, denn einmal war der RMSSD extrem hoch dann wieder sehr tief. Das gleiche mit Ratio,etc. , obwohl ich mich immer gleich gut fühlte. Ich bekam immer wieder von der App die Meldung : Bitte Spezialist kontaktieren. Am Anfang dachte ich die App sei nicht gut.Trotzdem habe ich dann diverse Male das Problem mit Roy(HRV Spezialist) besprochen. Bin dann schlussendlich im Mai 2022 zum Herzspezialist/Kardiologen gegangen, der tatsachlich Herzprobleme feststellte. Im Sommer 2022 wurden mir dann 2 Stents implantiert. Seit Dezember 2022 bin ich wieder als Ausdauersportler voll aktiv . Ich habe das Entdecken meiner Herzprobleme der HRV Health App und Roy's Hilfe zu verdanken. Ich benütze diese App weiter täglich zur Kontrolle . Mit grossem Dank .. Arthurarthur2023-01-22 14:56:03
5 Being interested in my own health and wellness I was keen to learn how HRV might provide new insights.
Using the HRV Health app has given me more and different data to learn about myself. I’ve found that looking at my average HRV scores, stress index metrics and thinking about my overall health has already helped inform my choices about training and lifestyle.
Glenda2021-10-04 06:42:54
6 Sunday January 22, 2023 At the end of December 2021 I was looking for an app to improve my performance as an endurance athlete. I found HRV Health app. At first I was very skeptical because the RMSSD was extremely high and then very low again. The same with ratio, etc. , even though always felt well. I regularly received the messages from the app: Please contact a specialist. At first I thought there was a problem with the app. Nevertheless, I discussed the problem with Roy (HRV specialist) several times. I finally went to the heart specialist/cardiologist in May 2022, who actually diagnosed heart problems. In the summer of 2022, I had 2 stents implanted. I am fully active again as an endurance athlete since December 2022. I credit the HRV Health app and Roy's help for discovering my heart problems. I continue to use this app every day to check. Many thanks.. Arthurarthur2023-01-22 15:16:29

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