08/01/2026
I have found that wearing a device that measures my heart rate variability, calculates my energy expenditure, and helps me to identify variations/patterns in my symptoms has been such a valuable part of my journey!
I use the Visible band, my Apple Watch with Welltory premium, and my Oura ring.
What devices do you use?
Research: Wearable Heart Rate Variability Monitoring, Autonomic Dysfunction and Post-exertional Malaise in Long COVID: An Observational Study (Wรผst et al, 2026)
Abstract
Objectives: Patients with long coronavirus disease (COVID) experience disabling fatigue, autonomic dysfunction, reduced exercise capacity and post-exertional malaise (PEM). Heart rate variability (HRV) can evaluate autonomic function and monitor overexertion, potentially helping to mitigate PEM. This study aimed to use continuous multi-day HRV recordings to monitor overexertion and study autonomic function in long COVID.
Conclusion: Heart rate variability, assessed by wearables, suggests autonomic dysfunction in patients with long COVID. The delayed recovery of the sympathovagal balance after exercise close to and above VT1, suggests that the risk of PEM rises above VT1.
Read more about the Methods and Results here:
https://link.springer.com/article/10.1007/s40279-026-02487-4