Heart rate and HRV from clean beats, not noisy guesses.

HRV is only as good as the interbeat intervals behind it. We assess signal quality first, then compute the full set of HRV metrics and follow them over days, months or a whole pregnancy.

RR INTERVALS · ONE NIGHTARTIFACTEXCLUDEDRMSSD42 msSDNN58 msLF/HF1.4SD130 ms
What we deliver

Heart rate and HRV analytics, end to end.

Beats

Clean interbeat intervals

Robust R-peak detection on ambulatory ECG and quality-checked PPG beat detection, using our open-source ecg2rr, E2E-PPG and pyPPGqa tools.

HRV

All three HRV families

Time domain (SDNN, RMSSD), frequency domain (LF, HF and their ratio) and nonlinear measures (SD1, SD2 and entropy), matched to the recording length each metric needs.

Respiration

Respiration rate

Breathing rate estimated from smartwatch PPG and accelerometry with a transfer learning approach.

Longitudinal

Long-term trends

Nocturnal and daily heart rate and HRV across weeks and months, as in our pregnancy and postpartum studies.

Risk

Risk stratification

Models that use longitudinal heart rate and HRV to stratify risk, such as preterm birth.

Validation

Device accuracy

Accuracy assessments of consumer devices against ECG, as in our Samsung smartwatch and Oura ring studies.

Methods

How we analyze it

  • Signal quality assessment before feature extraction
  • Deep learning R-peak detection and PPG reconstruction
  • Time, frequency and nonlinear HRV analysis
  • Mixed-effects models and machine learning for outcomes
Deliverables

What you receive

  • Beat-level and window-level HRV tables
  • Trend figures per participant and cohort
  • Validation statistics and a methods section
  • Documented, reproducible code
Evidence

Selected peer-reviewed work by our team.

  1. Sarhaddi et al. A comprehensive accuracy assessment of Samsung smartwatch heart rate and heart rate variability. PLOS ONE, 2022. doi:10.1371/journal.pone.0268361
  2. Cao et al. Accuracy assessment of Oura ring nocturnal heart rate and heart rate variability in comparison with electrocardiography in time and frequency domains: comprehensive analysis. Journal of Medical Internet Research, 2022. doi:10.2196/27487
  3. Sarhaddi et al. Trends in heart rate and heart rate variability during pregnancy and the 3-month postpartum period: continuous monitoring in a free-living context. JMIR mHealth and uHealth, 2022. doi:10.2196/33458
  4. Feli et al. Preterm birth risk stratification through longitudinal heart rate and HRV monitoring in daily life. Scientific Reports, 2024. doi:10.1038/s41598-024-70773-0
  5. Sharifi-Heris et al. Heart rate variability and pregnancy complications: systematic review. Interactive Journal of Medical Research, 2023. doi:10.2196/44430
  6. Laitala et al. Robust ECG R-peak detection using LSTM. ACM SAC, 2020. doi:10.1145/3341105.3373945
  7. Kazemi et al. Respiration rate estimation via smartwatch-based photoplethysmography and accelerometer data: a transfer learning approach. Proc. ACM IMWUT, 2025. doi:10.1145/3712280