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Heart Rate

Cardiovascular Medicine · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 4 min read

The number of times the heart ventricles contract per unit of time, usually per minute.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (661 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The number of times the heart ventricles contract per unit of time, usually per minute.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Heart Rates; Rate, Heart; Cardiac Rate; Cardiac Rates; Rate, Cardiac; Pulse Rate; Pulse Rates; Rate, Pulse.

Where it fits in the MeSH classification

Broader topics
Vital Signs; Hemodynamics
Narrower topics
Heart Rate, Fetal; Respiratory Sinus Arrhythmia
See also
Pulse

Related concepts

  • Heart Ventricles

Research landscape

PubMed indexes 193,068 records tagged with the MeSH heading “Heart Rate” (counts retrieved 2026-10-29). 23,471 of them (12.2%) were published from 2020 onward, and the busiest period so far is through 1999 with 93,434 records.

Reviews account for 8,380 records (4.3%) and meta-analyses for 960. Randomized controlled trials number 18,581 (9.6%) as a share of all records on the topic. Randomized trials make up a comparatively large share of this literature, which means many treatment questions have been tested directly.

PubMed records by publication periodthrough 1999: 93,434 records; 2000-2009: 35,173 records; 2010-2019: 40,990 records; 2020 onward: 23,471 records93,434through 199935,1732000-200940,9902010-201923,4712020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199993,434
2000-200935,173
2010-201940,990
2020 onward23,471
Share of records by publication typeReviews: 4.3 percent; Meta-analyses: 0.5 percent; Randomized controlled trials: 9.6 percentReviews4.3% (8,380)Meta-analyses0.5% (960)Randomized controlled trials9.6% (18,581)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 193,068 PubMed records
TypeRecordsShare
Reviews8,3804.3%
Meta-analyses9600.5%
Randomized controlled trials18,5819.6%

Method: PubMed query "Heart Rate"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in cardiovascular medicine

Cardiovascular medicine has an unusually large body of randomized trials, so the type of outcome matters: hard clinical events such as death, heart attack and stroke carry more weight than changes in blood pressure, cholesterol or imaging markers that only predict risk. Observational studies can show associations but are confounded by age, lifestyle and other illness. Check whether a result is about prevention or treatment, the baseline risk of participants, and the absolute rather than only the relative size of any benefit.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Heartbeat-Evoked Responses in M/EEG: A Systematic Review of Methods With Suggestions for Analysis and Reporting
Steinfath P, Azanova M, Kapralov N, Loesche T, Enk L, Nikulin V, et al.
2026Systematic review
Design not recorded in structured metadata
6cc by
PMID 41943417 · DOI · PMC13053922
Wearable-measured heart rate variability and premenstrual disorder symptoms across menstrual cycle
Pan Q, Zhou J, Chen M, Zhang P, Shi X, Lin Y, et al.
2026Research article
Design not recorded in structured metadata
5cc by
PMID 42412242 · DOI · PMC13342218
Review of methods to derive the heartbeat-evoked potential: past practices and future directions
Virjee RI, Kandasamy R, Garfinkel SN, Carmichael DW, Yogarajah M
2026Review article
Design not recorded in structured metadata
3cc by
PMID 42464026 · DOI · PMC13585452

Heartbeat-Evoked Responses in M/EEG: A Systematic Review of Methods With Suggestions for Analysis and Reporting [1]

Systematic review Steinfath P, Azanova M, Kapralov N, Loesche T, Enk L, Nikulin V, et al. · · 2026 · cited 6 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Heartbeat-evoked responses (HER), as measured by electroencephalography (EEG) or magnetoencephalography (MEG), represent neural activity time-locked to heartbeats and are widely used as a marker of cardiac interoception in the study of brain-body interactions.
Closing excerpt
We hope that these resources will improve the robustness, reproducibility, and transparency of research in the growing HER field.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (231 words)

Heartbeat-evoked responses (HER), as measured by electroencephalography (EEG) or magnetoencephalography (MEG), represent neural activity time-locked to heartbeats and are widely used as a marker of cardiac interoception in the study of brain-body interactions. However, HER studies report largely variable findings, at least partially due to methodological variability. To achieve consensus on HER processing and improve the reproducibility of findings, the field urgently requires a structured summary of the methods employed so far. To this end, we conducted a systematic review of 132 HER studies using non-invasive M/EEG recordings in humans. Our results reveal substantial heterogeneity across most steps of HER analysis, ranging from data acquisition and preprocessing to HER estimation and statistical approaches. The large diversity in the processing choices is accompanied by considerable proportions of unreported methodological information across reviewed studies, reaching up to 80% for key processing steps. In addition, less than 33% of studies had enough statistical power to reliably detect meta-level HER effects, while their reported spatiotemporal locations varied substantially. We provide a comprehensive reporting and quality control checklist to aid in the development of more standardized procedures, highlighting critical steps for robust HER investigations. Additionally, we share the full extracted dataset, including an interactive version, to support other researchers in answering additional specific questions they may have. We hope that these resources will improve the robustness, reproducibility, and transparency of research in the growing HER field.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41943417 · DOI · PMC13053922

Wearable-measured heart rate variability and premenstrual disorder symptoms across menstrual cycle [2]

Research article Pan Q, Zhou J, Chen M, Zhang P, Shi X, Lin Y, et al. · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundScreening premenstrual disorders (PMDs) is time-consuming and challenging, resulting in delays in detection and treatment.
Closing excerpt
, rMSSD, postmenstrual week, β = -0·036 per SD, 95% CI: -0·065 to -0·048), whereas null association was noted for those without PMDs (β = -0·001, 95% CI -0·011 to 0·009; P-for-difference ConclusionsWearable device-estimated HRV fluctuate across menstrual cycles, with varying strengths of association with PMDs symptoms between individuals with and without PMDs, which may facilitate the development of digital biomarkers for future PMDs diagnostics.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (257 words)

BackgroundScreening premenstrual disorders (PMDs) is time-consuming and challenging, resulting in delays in detection and treatment. To characterize the temporal dynamics of portable digital-marker across the menstrual cycle and its biological basis in PMDs, we investigated the menstrual fluctuation of wearable device-based real-time heart rate variability (HRV) through menstrual cycles and its associations with premenstrual disorders (PMDs) symptoms.MethodsA prospective study of female participants nested from the Care of Premenstrual Emotion Cohort was conducted. Daily HRV metrics were collected by the Huawei Fitness Tracker over 1-2 menstrual cycles. PMDs symptoms were assessed with the Daily Record of Severity of Problems on a daily basis. HRV variability across cycles was described using descriptive statistics and splines, while associations between HRV metrics and PMDs symptoms were estimated using a mixed-effect model.ResultsIn total, 193 participants (with 68 prospectively confirmed PMDs) were included, with measures from 293 menstrual cycles. In both women with and without PMDs, SDNN, rMSSD, and HF decreased before menses and increased afterwards; the increase trends were more pronounced in women without PMDs. During the week before or after menses, levels of these HRV metrics were inversely associated with PMDs symptoms among women with PMDs (e.g., rMSSD, postmenstrual week, β = -0·036 per SD, 95% CI: -0·065 to -0·048), whereas null association was noted for those without PMDs (β = -0·001, 95% CI -0·011 to 0·009; P-for-difference ConclusionsWearable device-estimated HRV fluctuate across menstrual cycles, with varying strengths of association with PMDs symptoms between individuals with and without PMDs, which may facilitate the development of digital biomarkers for future PMDs diagnostics.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42412242 · DOI · PMC13342218

Review of methods to derive the heartbeat-evoked potential: past practices and future directions [3]

Review article Virjee RI, Kandasamy R, Garfinkel SN, Carmichael DW, Yogarajah M · · 2026 · cited 3 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The heartbeat-evoked potential (HEP) is an implicit, electrophysiological marker of cortical heartbeat processing and interoception, with increasing clinical relevance.
Closing excerpt
In order to ensure reproducibility and transparency, publications should report critical values for reliable HEP extraction, emphasizing the need for standardized methods to enhance study comparability and reproducibility.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (173 words)

The heartbeat-evoked potential (HEP) is an implicit, electrophysiological marker of cortical heartbeat processing and interoception, with increasing clinical relevance. However, on the scalp, HEP are low-amplitude signals mixed with cardiac field artefacts (CFA), requiring signal processing pipelines to separate HEP from CFA. This review evaluates current analytical approaches and addresses methodological gaps in HEP pipelines. A scoping review of the literature was conducted focusing on previously published HEP studies. This was to extract HEP processing methods and parameters used in EEG (199 included papers) and MEG (8 included papers). Parameters investigated included the HEP window, filters, baseline correction window, epoch timeframes, minimum RR intervals, epoch amplitude rejection threshold, and CFA removal. EEG and MEG studies revealed clear heterogeneity and variability in the methods used to derive HEP. These clear inconsistencies in HEP parameter use and reporting would appear to challenge the level replicability between studies. In order to ensure reproducibility and transparency, publications should report critical values for reliable HEP extraction, emphasizing the need for standardized methods to enhance study comparability and reproducibility.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42464026 · DOI · PMC13585452

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Age-predicted maximal heart rate revisited [4]
    Tanaka H, Monahan KD, Seals DR · J Am Coll Cardiol · 2001 · cited 2,141 times (Europe PMC)
  • Research article A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health [5]
    Thayer JF, Ahs F, Fredrikson M, Sollers JJ, Wager TD · Neurosci Biobehav Rev · 2012 · cited 1,912 times (Europe PMC)
  • Research article Impact of depression and antidepressant treatment on heart rate variability: a review and meta-analysis [6]
    Kemp AH, Quintana DS, Gray MA, Felmingham KL, Brown K, Gatt JM · Biol Psychiatry · 2010 · cited 930 times (Europe PMC)
  • Research article Sex differences in healthy human heart rate variability: A meta-analysis [7]
    Koenig J, Thayer JF · Neurosci Biobehav Rev · 2016 · cited 593 times (Europe PMC)
  • Research article The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis [8]
    Goessl VC, Curtiss JE, Hofmann SG · Psychol Med · 2017 · cited 367 times (Europe PMC)
  • Research article A meta-analysis of heart rate variability in major depression [9]
    Koch C, Wilhelm M, Salzmann S, Rief W, Euteneuer F · Psychol Med · 2019 · cited 356 times (Europe PMC)

References

  1. Steinfath P, Azanova M, Kapralov N, Loesche T, Enk L, Nikulin V, et al.. Heartbeat-Evoked Responses in M/EEG: A Systematic Review of Methods With Suggestions for Analysis and Reporting. . 2026. PMID 41943417 · DOI · PMC13053922
  2. Pan Q, Zhou J, Chen M, Zhang P, Shi X, Lin Y, et al.. Wearable-measured heart rate variability and premenstrual disorder symptoms across menstrual cycle. . 2026. PMID 42412242 · DOI · PMC13342218
  3. Virjee RI, Kandasamy R, Garfinkel SN, Carmichael DW, Yogarajah M. Review of methods to derive the heartbeat-evoked potential: past practices and future directions. . 2026. PMID 42464026 · DOI · PMC13585452
  4. Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001. PMID 11153730 · DOI
  5. Thayer JF, Ahs F, Fredrikson M, Sollers JJ, Wager TD. A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci Biobehav Rev. 2012. PMID 22178086 · DOI
  6. Kemp AH, Quintana DS, Gray MA, Felmingham KL, Brown K, Gatt JM. Impact of depression and antidepressant treatment on heart rate variability: a review and meta-analysis. Biol Psychiatry. 2010. PMID 20138254 · DOI
  7. Koenig J, Thayer JF. Sex differences in healthy human heart rate variability: A meta-analysis. Neurosci Biobehav Rev. 2016. PMID 26964804 · DOI
  8. Goessl VC, Curtiss JE, Hofmann SG. The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis. Psychol Med. 2017. PMID 28478782 · DOI
  9. Koch C, Wilhelm M, Salzmann S, Rief W, Euteneuer F. A meta-analysis of heart rate variability in major depression. Psychol Med. 2019. PMID 31239003 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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  • Venous PressureCardiovascular Medicine
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All 105 articles in Cardiovascular Medicine →

At a glance

193,068
PubMed records on this heading
12%
published since 2020
8,380
review articles
18,581
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Cardiac OutputCardiovascular Medicine
  • Respiratory RateAnatomy and Physiology
  • Atrial PressureCardiovascular Medicine
  • Venous PressureCardiovascular Medicine
  • Vascular ResistanceCardiovascular Medicine

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