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The Truth About Low HRV and Low RHR: Real Physiology, Theoretical Meaning

Dr Stephen Wangen
|
November 18, 2025

Heart Rate Variability (HRV): What It Really Means ❤️‍🩹

I wear a Whoop. And my Whoop measures a bunch of numbers, including something called Heart Rate Variability (HRV).

HRV has become one of the most talked-about numbers in wellness, sports performance, and biofeedback. It’s often promoted as a direct measure of recovery, stress resilience, or nervous-system balance.

HRV is simply the time between heart beats. The simple story goes:

  • Higher HRV = healthier, calmer, better recovered 🌿
  • Lower HRV = stress, fatigue, or dysfunction 😓

Because it’s presumed that the more variable your heart rate is, the less stuck you are in a stressed sympathetic state, where your heart is beating at a constant stressed speed (and dominantly influenced by the sympathetic nervous system).

The theory is almost believable. Almost.

My Low HRV Story

If you happen to be like me, you may have a low HRV. And mine is really low. It averages 28.

Even though I’m 58 years old and HRV decreases with age, that is still really low.

But I’m super active and very healthy. My resting heart rate (RHR) average is 50.

So I’m not stuck in some kind of stressed sympathetic pattern—even though my HRV is low.

The Autonomic Nervous System Is Real, But Its Function Is Still Theory 🧠

The autonomic nervous system (ANS) unquestionably exists and governs:

  • Heartbeat ❤️
  • Breathing 🌬️
  • Digestion 🥗
  • Many other involuntary functions

It has two main branches:

  • Sympathetic: mobilizes energy (“fight or flight”) ⚡
  • Parasympathetic: restores balance (“rest and digest”) 🌿

HRV reflects their dynamic interplay. But while we can measure HRV precisely, what it truly means remains theoretical. Researchers continue to debate:

  • How the sympathetic and parasympathetic branches interact in real time
  • How emotions, hormones, and metabolism affect HRV
  • Whether HRV patterns reliably indicate health across individuals

So, while the ANS is real, its operational model is still a best-fit theory.

HRV: Measurable Data, Context-Dependent Meaning 📊

HRV measures the millisecond-to-millisecond variation between heartbeats. That variability can change due to countless influences:

  • Sleep quality and circadian rhythm 🛌
  • Hydration and electrolyte balance 💧
  • Breathing rate and depth 🌬️
  • Food, glucose, and gut inflammation 🍽️
  • Hormones, medications, or menstrual phase 💊
  • Fitness level, genetics, and even posture 🏋️

In other words, HRV is real physiology—but not a single diagnostic truth. Its meaning depends on who you are, what your body is doing, and when you measure it.

Does Higher HRV Always Equal Better Health? 🤔

No. Many studies show that higher HRV often correlates with better recovery and adaptability. Yet research and clinical experience also reveal exceptions:

  • Some people with chronic fatigue, autoimmune disease, or dysautonomia display high HRV from erratic or unstable signaling ⚠️
  • A temporarily low HRV may appear during intense training, immune response, or healthy stress adaptation 🏋️

So HRV is best understood as one signal among many, not a universal scoreboard.

Common Assumption—and Its Limits

It’s tempting to think:

  • High HRV = strong parasympathetic tone 🌿
  • Low HRV = sympathetic dominance or stress 😰

That’s sometimes true, but physiology isn’t that black-and-white.

Resting Heart Rate (RHR) and Parasympathetic Tone 💓

A low resting heart rate usually indicates:

  • Strong parasympathetic (vagal) influence 🌿
  • An efficient cardiovascular system 🫀

It’s typical among endurance athletes and well-conditioned individuals. Low RHR usually means the heart pumps effectively and doesn’t need to beat as often—a mark of efficiency, not fatigue.

Low HRV Doesn’t Always Mean Sympathetic Dominance

A low HRV can result from several different states:

  • High sympathetic drive from stress or illness ⚡
  • Stable efficiency, where beat-to-beat intervals simply don’t vary much ✅
  • Genetic or constitutional traits producing naturally steady rhythms 🧬

So a low HRV may reflect either strain or stability. Context is everything.

Different Athletic Profiles, Different HRV Patterns 🏃‍♂️🏋️

Endurance Athletes: Tend Toward Higher HRV

  • Chronic aerobic training increases parasympathetic (vagal) tone 🌿
  • Hearts become more efficient and responsive ❤️
  • Adaptability shows as higher HRV, especially during rest and sleep 🛌

Strength / Power Athletes: Often Show Lower HRV

  • Emphasis on sympathetic activation for explosive performance ⚡
  • Shorter, intense neuromuscular bouts rather than long aerobic effort 🏋️
  • Nervous system favors stability and readiness, not fluctuation ✅

That describes my athletic style: I do speed workouts and lift weights, not long-distance running. Both are healthy adaptations.

Context Always Wins 🏆

  • Low HRV + Low RHR can indicate calm, efficient physiology — or stress and exhaustion.
  • The difference lies in symptoms, recovery, energy, and emotional stability.

If you sleep well, recover easily, digest smoothly, and feel energetic, then low HRV and low heart rate likely reflect your healthy normal.

The Body Is Smarter Than the Metrics 🧠

Wearables and dashboards can’t capture the full complexity of the nervous system. HRV and heart rate are valuable tools—but only in context.

Health is a pattern, not a number. Trends, symptoms, and performance tell the real story.

Final Thoughts 🌟

The autonomic nervous system is real, but its function remains a theory in progress. HRV and resting heart rate are measurable facts—but their interpretation depends on physiology, genetics, and circumstance.

My low HRV and low RHR are likely due to both genetics and the way I train.

You can absolutely be healthy, strong, and balanced with both low HRV and a low resting heart rate. The key is how your body performs, not what your tracker reports.

Instead of chasing a score, listen to your body’s signals—because your body always knows the truth long before your data does.

Thank you for reading. I would love to hear your experience with HRV in the comments below.

And remember to take good care of your body. It’s the only place that you have to live. 🫀

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