Pulse rate variability is not the same as heart rate variability: findings from a large, diverse clinical population study

PPG-PRV is a poor surrogate for ECG- HRV as it significantly underestimated SDNN, rMSSD, and pNN50 across select chronic diseases. Given the widespread use of PPG-based devices and ubiquitous, incorrect assumption that PRV accurately reflects HRV, researchers, clinicians, and manufacturers must clearly distinguish between PRV and HRV in studies and product claims.

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Publication Details

Journal
Frontiers in Physiology
Published
2025-07-30
DOI
https://doi.org/10.3389/fphys.2025.1630032
Citations
4
Primary Topic
Non-Invasive Vital Sign Monitoring
Type
article
Field-Weighted Citation Impact
2.70
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article

Pulse rate variability is not the same as heart rate variability: findings from a large, diverse clinical population study

Allen B. Kantrowitz, Michael J. Wishon, Samantha M. McDonald, Harrison L. Wittels et al.
4 citations
Frontiers in Physiology
Non-Invasive Vital Sign Monitoring
2.70
article

Pulse rate variability is not the same as heart rate variability: findings from a large, diverse clinical population study

Allen B. Kantrowitz, Michael J. Wishon, Samantha M. McDonald, Harrison L. Wittels, Kfir Ben‐David, S. Howard Wittels, Luis A. Feigenbaum, Michael Morris, Eric Renaghan
article en
4 citations

Abstract

PPG-PRV is a poor surrogate for ECG- HRV as it significantly underestimated SDNN, rMSSD, and pNN50 across select chronic diseases. Given the widespread use of PPG-based devices and ubiquitous, incorrect assumption that PRV accurately reflects HRV, researchers, clinicians, and manufacturers must clearly distinguish between PRV and HRV in studies and product claims.

Frontiers in PhysiologyVol. 16
Unifor (NO), University of Miami (US), Florida International University (US), University of Florida (US), Research Organization for Information Science and Technology (JP), Mount Sinai Medical Center (US), Clinical Pharmacology of Miami (US), San Antonio Uniformed Services Health Education Consortium (US), Illinois State University (US), Joint Base San Antonio (US), Florida College (US)
Good health and well-being
Openalex Percentile: Top 10%
Non-Invasive Vital Sign Monitoring
2.70
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Pulse rate variability is not the same as heart rate variability: findings from a large, diverse clinical population study — Allen B. Kantrowitz, Michael J. Wishon, et al. · Frontiers in Physiology (2025) | TGRS Research Map | TGRS