What does heart rate recovery show that HRV doesn't?

Heart rate recovery is how quickly your heart rate falls in the first minutes after exercise stops. It shows how fast the vagal brake comes back after effort, while resting HRV shows how active the brake is when you are still. In a study of 2,428 adults, a drop of 12 beats a minute or less in the first minute after a treadmill test went with twice the risk of death over six years.

On this page 4 sections

Key takeaways

  • Heart rate recovery is the fall in heart rate in the first minutes after exercise; the first minute mostly reflects the vagal brake coming back.
  • Resting HRV shows the brake at rest; recovery shows how fast it returns after a challenge.
  • In 2,428 adults having an exercise test, a drop of 12 beats a minute or less in the first minute went with twice the risk of death over six years, after adjusting for other factors.
  • For athletes, recovery and exercise heart rate add information about fitness and fatigue, but they are noisier day to day and need a standard workout.
  • A slow recovery is a group-level risk marker, not a diagnosis; talk to a doctor if exercise brings chest pain, breathlessness or dizziness.

Heart rate recovery shows how fast your vagal brake comes back after effort, while resting HRV shows how active the brake is when you are still. The first-minute drop is the number to know: in a study of 2,428 adults, a fall of 12 beats a minute or less in the first minute after an exercise test went with twice the risk of death over six years (Cole and colleagues, 1999).

Two different questions

When you exercise, the vagal brake lets go and the accelerator presses. When you stop, the brake comes back first. Michael, Graham and Davis (2017) describe the first minute after exercise as the “fast phase” of recovery, usually put down to the vagal brake returning, followed by a slower phase as the accelerator eases off. They also note that HRV during exercise shrinks to a minimum at moderate effort, around 50 to 60% of maximal oxygen uptake, with RMSSD RMSSD Root mean square of successive differences: an HRV metric built from how much each heartbeat interval differs from the next, in milliseconds. It mainly reflects vagal activity. More about RMSSD falling below 5 ms.

So the two measures look at different moments:

Resting HRVHeart rate recovery
WhenAt rest, usually on waking or overnightIn the first minutes after a workout
What it showsHow active the vagal brake isHow fast the brake returns after effort
What you needA still, repeatable readingA standard effort, done the same way
Day-to-day noiseAbout 12% for lnRMSSD lnRMSSD The natural logarithm of RMSSD, with no unit. Taking the log evens out the spread of RMSSD values, which makes day-to-day changes easier to compare and analyse. More about lnRMSSD About 25% for the 1-minute drop; needs a fixed workout

The model below shows why the first minute is vagal: the brake changes heart rate within a second, the accelerator over half a minute. Recovery is the same race in reverse.

How fast each nerve acts

A teaching model, not a measurement

Delay before it moves
0.3 s
Time to 90% of the change
1.5 s
Rate range
54 to 70 bpm

Tap the vagal brake and the very next beats come later. The slowing starts within a fraction of a second and is complete within about two seconds. Let go and the rate is back just as fast.

The buttons work when JavaScript is on.

Heart rate for 50 seconds, with the nerve pressed from second 5 to second 30 (shaded). The vagal brake changes the next beat; the accelerator needs seconds to start and about half a minute to settle. A teaching model with rounded times, not a recording.

A line chart of heart rate over 50 seconds, resting at 70 beats a minute, with the press shaded from 5 to 30 seconds and a tick under the chart for every heartbeat. Tapping the brake drops the rate within about 1.5 seconds and it recovers as fast once released. Pressing the accelerator does nothing for 3.0 seconds, then the rate climbs and settles after about 21.4 seconds, and drifts back slowly after release. Pressing both slows the heart first and speeds it up later. Three buttons choose which to press, and readouts give the time to the first change and the time to settle.

What the risk study found

Cole and colleagues followed 2,428 adults, with an average age of 57, who had a treadmill test for medical reasons. They called recovery abnormal if heart rate fell by 12 beats a minute or less in the first minute after peak effort. A quarter of the group had abnormal recovery. Over six years, 213 people died. After allowing for the workload reached, heart scan results and other factors, abnormal recovery still went with twice the risk of death.

That is a link across a group of patients, measured in a clinic with a set protocol. It does not mean that a slow recovery after your run predicts anything for you.

For training

Buchheit (2014) reviewed heart-rate measures for monitoring athletes. Recovery reflects general circulation changes and the reflexes that drive the brake’s return. Some studies linked changes in the 1-minute drop with changes in performance and fatigue, but in team sports it did not always follow performance, and whether it can flag a slump the way resting HRV can is not yet confirmed. It needs a standard effort, so for team sports he suggests exercise heart rate instead: the average over the last 30 to 60 seconds of a fixed bout of at least 3 to 4 minutes, which fits into a warm-up. Exercise heart rate falls as fitness improves, but a rise on one day is not a clear sign of fatigue.

The practical combination: a morning HRV reading on most days, and recovery or exercise heart rate from a fixed warm-up or test session now and then.

When to talk to a doctor

See a doctor if exercise brings chest pain, unusual breathlessness, dizziness or fainting, or if your heart rate stays very high long after you stop. Neither recovery nor HRV can diagnose a heart problem.

Common questions

How do I measure my heart rate recovery?

After a hard effort, stop and note your heart rate at the moment you stop and again one minute later, staying in the same position each time. Many watches show this after a workout. Compare it only with tests done the same way, after the same kind of effort.

What is a good heart rate recovery?

In the clinical study by Cole and colleagues, a drop of more than 12 beats a minute in the first minute after a treadmill test counted as normal. There is no single target for athletes; track your own number under the same conditions.

Can I use recovery instead of morning HRV?

They answer different questions. Morning HRV needs no workout and can be measured daily. Recovery needs a standard effort. Buchheit suggests the two can work together, with the choice depending on your schedule and sport.

Sources

  1. Heart-rate recovery immediately after exercise as a predictor of mortality New England Journal of Medicine, 1999
  2. Cardiac Autonomic Responses during Exercise and Post-exercise Recovery Using Heart Rate Variability and Systolic Time Intervals—A Review Frontiers in Physiology, 2017
  3. Monitoring training status with HR measures: do all roads lead to Rome? Frontiers in Physiology, 2014