Heart Risks & HRV Analytics

Heart scores and HRV metrics from the same ECG signal.

No extra recording and no extra hardware. From the ECG you already capture, Cardiolyse derives more than 30 heart rate variability metrics, ECG codes and scores — from autonomic balance and stress to Heart Biological Age.

A woman sitting at a wooden table in a bright room, holding a small white device showing an ECG heart rhythm on its screen.
One ECG · 30+ metrics and scores
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HRV metrics, ECG codes and scores
1 signal
The same ECG / PPG signal used for the standard read
30–180 sec
Recording for the HRV-based scores
Validated
Risk of Heart Disorders Score

Scores that read beyond the routine ECG

Each score is calculated from the same ECG signal as the rhythm and interval analysis, using a short recording window.

Independent clinical validation
Risk of SCD / Risk of Heart Disorders (RoHD)
A score for the risk of sudden cardiac death and adverse cardiac outcomes, derived from a short single-lead ECG.
Fatigue Score
An HRV-based indicator of physiological fatigue. Its trend over time points towards chronic fatigue.
Emotional Score
An HRV-based indicator of emotional balance between sympathetic and parasympathetic activity.
Stamina
An HRV-based indicator of autonomic reserve and cardiovascular fitness.
Stress Level
An indicator of acute autonomic stress, based on the Baevsky Stress Index.
Heart Biological Age
An HRV-based estimate of cardiovascular age compared with chronological age.

Built on published methodology.

We state what evidence exists for each score today. Cardiolyse-branded validation of the HRV-based scores continues as further studies conclude.

Independent clinical validation
Cardiolyse Risk of Heart Disorders score predicts heart failure outcomes in the MyoVasc study
In the MyoVasc study at the University Medical Center Mainz (953 participants, 522 with symptomatic heart failure), the RoHD score predicted worsening of heart failure and all-cause death, independently of NT-proBNP and the MAGGIC risk score.
Published outcome evidence
HRV linked to outcomes in heart failure
In the UK-HEART study of 433 patients with chronic heart failure, reduced SDNN — one of the HRV measures behind the Cardiolyse scores — independently predicted all-cause mortality and was the strongest independent predictor of death from progressive heart failure.
Established HRV science
Standard HRV methods underneath
Fatigue, Emotional, Stamina, Stress Level and Heart Biological Age build on established HRV measures and methods, such as the Baevsky Stress Index and the Samn–Perelli fatigue scale.

One recording. Two layers of insight.

Doctor holding a tablet displaying an ECG report with heart rate and measurements, showing detailed heart activity with red gridlines and interpretation notes on the screen.
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Record

Capture an ECG / PPG — a short single-lead recording is enough. HRV-based scores use a 30–180-second window.

Upload

Send the signal through the REST API or a partner integration.

Analyse

HRV metrics, ECG codes and scores are calculated from the same signal as the standard ECG analysis.

Results

Values return as structured data, ready to show in your platform and to track over time.

More value from every ECG you record.

Cardiovascular screening programmes
Add risk and HRV scores to screening ECGs to help identify people who need a closer look.
Stress, fatigue and recovery tracking
Follow stress, fatigue and stamina trends in employees, athletes and other high-demand roles.
Digital health products and studies
Offer HRV analytics in your own device or app through one API, or use the metrics as study endpoints.

Heart risks and HRV analytics, answered.

Do the scores need a separate recording?

No. Scores and HRV metrics are calculated from the same ECG signal used for the standard analysis. RoHD uses a 30-second window; the HRV-based scores use a 180-second window.

Does it work with single-lead ECGs?

Yes. The scores and HRV metrics are designed to work from a short single-lead ECG, so they suit handheld devices, patches and wearables as well as standard ECG recorders.

Which metrics are included?

More than 30 in total: 21 HRV metrics (such as SDNN, RMSSD, pNN50, LF/HF, Stress index and DFA), five ECG codes (aVR lead, I lead, Froelicher and Aldrich anterior and inferior) and six scores, including RoHD and Heart Biological Age.

How well are the scores validated?

RoHD has independent clinical validation from the MyoVasc study. The score system follows a peer-reviewed methodology, and the HRV-based scores build on established HRV methods, with Cardiolyse-branded validation continuing.

Are the scores a diagnosis?

No. Scores are indicators that support a qualified healthcare professional’s assessment and are not a diagnosis on their own.

Can we test it on our own ECGs?

Yes. Send us a small set of anonymised recordings and we will walk you through the results. Contact us to set it up.