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Marco Altini’s Substack · May 11, 2026

[Book] Heart Rate Variability: Science and Strategies for Peak Performance

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Marco Altini · Marco Altini’s Substack

Excited to announce that our book is out and available for purchase from Human Kinetics’ website, here or on Amazon, here.

  • Foreword
    Introduction. Why This Book? Starting the Journey With HRV
    What Are Our Stories With HRV?
    Why Is HRV Important?
    How Can This Book Help You?
    Final Thoughts to Kick-Start Your HRV Reading Journey

  • Part I. The Science Behind HRV
    Chapter 1. Physiology Foundations
    Understanding the Physiological Foundations of HRV
    What Is the Difference Between Heart Rate and HRV?
    The Physiology of HRV
    HRV Indices
    Vagally Mediated HRV
    Cardiac Vagal Activity and Vagal Tank Theory
    The Implications of Vagal Tank Theory
    Myths About HRV: Separating Fact From Fiction When Interpreting HRV
    Interpreting Indices of Non–Vagally Mediated HRV
    The Role of Context in HRV Interpretation

  • Chapter 2. Global Factors That Influence HRV
    Population-Level Analyses: Understanding Individual Differences
    Individual-Level Analyses: How Data Change Over Time
    Environmental Stressors

  • Chapter 3. Impact of Sleep, Nutrition, and Hydration on HRV
    Sleep and HRV
    Nutrition and HRV
    Hydration and HRV

  • Part II. Measurement and Interpretation of HRV
    Chapter 4. HRV Monitoring and Tracking Tools
    Common Methods and Devices for Measuring HRV
    HRV Versus Pulse Rate Variability
    Know Your Application: ECG Versus Photoplethysmography Versus Ballistocardiography
    Protocols and Best Practices: How to Accurately Measure HRV
    When to Measure HRV
    Body Position: Should You Measure Lying Down, Sitting, or Standing?
    Frequency of HRV Measurements
    Duration of HRV Measurements
    Chest Straps, Wristbands, Finger Sensors, and Phones: What Can You Use?
    The Impact of Breathing on Data Collection
    Artifacts in HRV Data: Movement, Ectopic Beats, and Arrhythmias
    Learn to Ask the Right Questions

  • Chapter 5. Interpreting HRV Data
    Acute Response to Training Stress and HRV
    Understanding Meaningful Changes in HRV Indices: The Normal Range
    Identifying Changes in HRV and What They Mean for Your Health and Fitness
    Heart Rate and HRV Saturation
    Physiological Adaptations to Training

  • Part III. Applications of HRV Monitoring
    Chapter 6. Using HRV to Guide Individualized Training
    Autonomic Regulation and Trainability: What HRV Can Tell Us
    The Beginnings of HRV-Guided Training
    State of the Art in HRV-Guided Training: The Big(ger) Picture
    The Future of Individualized Training: A Combined Approach?
    Expected Outcomes of HRV-Guided Training
    Beyond Baseline Assessments

  • Chapter 7. Applying HRV in Team Settings
    Devices for Monitoring HRV in Team Sports
    The Basics of HRV in Team Sports
    Challenges of Monitoring HRV in Team Sports

  • Chapter 8. Injury Prevention and Acute Recovery
    Using HRV Monitoring to Detect Early Signs of Overtraining and Injury
    HRV-Guided Training for Injury Prevention
    HRV-Guided Training for Injury Rehabilitation
    HRV for the Management of Brain Injuries and Concussions

  • Chapter 9. Health, Disease Prevention, and Longevity
    The Role of Autonomic Function in Health and Disease
    HRV and Fundamental Health Mechanisms
    The Role of HRV in Disease Prevention and Management
    Improving Health Outcomes With HRV Monitoring

  • Part IV. The Brain’s Impact on HRV
    Chapter 10. HRV and Cognitive Function
    HRV, Mental Performance, and Function
    Brain Structure and HRV
    The Prefrontal Cortex, Executive Function, and HRV
    Measuring HRV for Cognitive Performance
    Physical Activity and HRV
    HRV and Mental Fatigue
    Collecting HRV Data to Manage Mental Fatigue and Improve Cognitive Functioning
    Strategies for Overcoming Mental Fatigue and Improving Executive Performance

  • Chapter 11. Managing Psychological Stress
    Understanding Psychological Stress
    Strategies for Using HRV to Manage Psychological Stress
    Burnout and HRV
    Challenges and Limitations of Monitoring HRV to Manage Psychological Stress

  • Chapter 12. HRV and Mental Training
    Psychological Skills: The Foundations
    Breathing Techniques
    Mind–Body Relaxation
    The Low HRV Autopilot
    Inspirational Techniques
    Self-Reflection
    Connection Matters: The Power of Social Support for HRV

  • Part V. Maximizing Daily HRV Monitoring for Athletic Performance
    Chapter 13. Your Daily HRV Routine
    The Ease of Capturing HRV Data
    What Could Your HRV Day Look Like?
    HRV Analysis Before and After Exercise
    What About Continuous HRV Monitoring?

  • Chapter 14. A 30-Day HRV Training Plan
    Why Complete an HRV Challenge?
    Your HRV-Supporting Morning Routine
    Your HRV-Supporting Evening Routine
    Building Blocks for HRV Awareness and Improvement
    The 30-Day HRV Challenge
    What to Do After the 30-Day HRV Challenge

  • Epilogue. Your HRV Journey Is Just Starting
    Summary of Key Takeaways
    Personal Growth and Continuous Learning
    Start Simple and Build a Solid Foundation
    HRV for Athletic Training and Performance
    Interpreting Data and Making Training Decisions
    Overview of HRV Applications Across Sports
    Sharing Your HRV Journey

Here is a bit of the backstory on how this unfolded over the past seven years ☺️

Back in 2019, Dan and I started discussing the idea of writing a book on HRV. At the time, there was nothing on the market that offered a truly modern and practical perspective. We began writing and drafted several chapters before and during the pandemic, but eventually lost momentum.

In October 2022, I met Sylvain at the Italian Olympic Committee, where we delivered a workshop on HRV together. We put together a decent show, and afterward, he asked if I would be interested in writing a book. I discussed it with Dan, and we decided to join forces. We also involved Emma, who had previously worked with Sylvain and brought invaluable expertise, especially in HRV and cognitive performance. Cooperation over competition.

This time, Sylvain’s incredible energy set the pace. He helped us find an editor we immediately connected with: Human Kinetics. We signed our agreement in 2023, and from that point on, we spent more than two years writing, revising, and iterating with our editors.

All of us contributed to every chapter. We learned from each other and gradually shaped what we can now confidently call our HRV book, reflecting decades of combined experience in the field. It has been a long journey, and I am truly grateful to my coauthors for making the process genuinely enjoyable and intellectually stimulating.

Our goal has always been to stay between hype and skepticism, so that people can truly benefit from this tool by understanding both the potential and limitations of HRV analysis.

Well, that’s all.

I hope you will enjoy the book!

Please apply here should you be interested in working with me.

You can also learn more about my coaching, here.

Thank you!

No paywalls here. All my content is and will remain free.

As a HRV4Training user, the best way to help is to sign up for HRV4Training Pro.

Thank you for supporting my work.

Marco holds a PhD cum laude in applied machine learning, a M.Sc. cum laude in computer science engineering, and a M.Sc. cum laude in human movement sciences and high-performance coaching. He is a certified ultrarunning coach.

Marco has published more than 50 papers and patents at the intersection between physiology, health, technology, and human performance.

He is co-founder of HRV4Training, endurance coach at Destination Unknown, advisor at Oura, guest lecturer at VU Amsterdam, and editor for IEEE Pervasive Computing Magazine. He loves running.

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Read the original on marcoaltini.substack.com

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