Triage Method

Triage Resonance Breathing Tool

Visual breathing pacer with live HRV & coherence biofeedback, that helps you to find your personal resonant frequency

Heart Rate Monitor Connection (optional; pacer works standalone)
Disconnected — pacer still available
Breathing Pacer
Press Start to begin
Elapsed
0:00
Breaths
0
Rate
Coherence
✓ Session Complete
Cardiorespiratory Coherence (FFT)
Coherence Score
Connect sensor or start session to see live coherence analysis
Collecting RR intervals…
0
of 30 beats
Analysis begins once 30 beats are collected
RMSSD
ms
SDNN
ms
Mean HR
bpm
pNN50
%
HF Power
ms²
Peak Freq
Hz
Peak Power
ms²
LF/HF Ratio
Power Spectral Density (0–0.5 Hz)
RR Interval Trend
Coherence Score History
Resonant Frequency Finder Select a rate preset and breathe steadily for 2 min
Coherence Insights
Start a session and connect a BLE chest strap to see live HRV & coherence analysis. Aim for breathing near your resonant frequency (~5–6 brpm).

Resonance Breathing & Coherence

Generated ${now.toLocaleString()}  ·  Pacer: ${inhaleTime}s in / ${exhaleTime}s out${holdTime > 0 ? ` / ${holdTime}s hold` : ''}  ·  ${(60/total).toFixed(2)} brpm${elapsed ? `  ·  Session: ${mins}:${String(secs).padStart(2,'0')}  ·  ${breathCount} breaths` : ''}
${cohScore}
Time-Domain HRV
RMSSD
${rmssd} ms
SDNN
${sdnn} ms
Mean HR
${meanHR} bpm
pNN50
${pnn50}%
Frequency-Domain HRV
Coherence Score
${cohScore}/100
HF Power
${hf} ms²
Peak Freq
${document.getElementById('rbc-val-peak').textContent} Hz
LF/HF Ratio
${document.getElementById('rbc-val-lfhf').textContent}
${bestBrpm ? `
🎯 Your personal resonant frequency: ${bestBrpm}
` : ''}
${document.getElementById('rbc-insights-text').innerHTML}
`; const win = window.open('', '_blank'); if (!win) return; win.document.write(html); win.document.close(); setTimeout(() => win.print(), 600); } window.rbcExportPDF = rbcExportPDF; /* ============================================================ RESIZE ============================================================ */ window.addEventListener('resize', () => { if (lastResult) { drawPSD(lastResult.fft.spectrum); drawRRTrend(lastResult.filtered); drawCoherenceHistory(); } if (!pacerRunning) drawPacerIdle(); }); /* ============================================================ INIT ============================================================ */ // Parse initial input values into state variables without updating stat card inhaleTime = parseFloat(document.getElementById('rbc-input-in').value) || 5.5; exhaleTime = parseFloat(document.getElementById('rbc-input-out').value) || 5.5; holdTime = parseFloat(document.getElementById('rbc-input-hold').value) || 0; // Build finder rows immediately so they're visible on load renderFinderRows(); drawPacerIdle(); })();

There’s a good chance you already have some kind of breathing practice. Maybe you’ve done box breathing before a stressful meeting, or you’ve been told to “take a few deep breaths” when anxiety spikes. Perhaps you use a meditation app, or you’ve read enough about the nervous system to know that how you breathe matters. And yet, for most people, even those who take their health seriously, breathing remains this vague wellness hack rather than a precise physiological intervention. But it doesn’t need to be this way.

Resonance breathing is not just another relaxation technique. It is a specific, scientifically validated protocol that works by synchronising your breathing rhythm with the natural oscillation frequency of your cardiovascular system, and when those two things align, the effects on your heart rate variability, autonomic nervous system function, and stress resilience are measurable, significant, and cumulative. The Triage Resonance Breathing Tool above gives you the means to do this with proper biofeedback. But before you use it, you should understand what’s actually happening inside your body when you practice resonance breathing, why your personal frequency is different from everyone else’s, and why that precision is important.

 

What Resonance Breathing Actually Is

Let’s start with what it isn’t. Generic slow breathing, the kind where someone tells you to breathe in for four counts and out for four counts, is not resonance breathing. Box breathing, which adds holds to that pattern, is not resonance breathing either. These techniques certainly are useful for managing acute stress and calming the nervous system in a pinch, but they are blunt instruments compared to what we’re talking about here. Resonance breathing is something more specific.

The core idea is that your cardiovascular system has a natural oscillation frequency. This is a rhythmic fluctuation in blood pressure and heart rate that cycles roughly every ten seconds or so in most adults. This oscillation is driven by a feedback loop called the baroreflex, which we’ll explore shortly. When you breathe at precisely the right rate, your breathing rhythm synchronises with this cardiovascular oscillation in a phenomenon called entrainment. The two systems lock into phase with each other, and when they do, there is a dramatic amplification of heart rate variability (the variation in time between consecutive heartbeats that is one of the most powerful indicators of health and resilience we have).

Think of it like pushing someone on a swing. If you push at random intervals, the swing barely moves. If you push in time with the swing’s natural frequency, the amplitude builds dramatically with very little extra effort. Resonance breathing is pushing at exactly the right moment, every time. The result is not just relaxation, it is measurable physiological change in your autonomic nervous system, your cardiovascular regulation, and your capacity to handle stress.

 

The Physiology: Why Resonance Breathing Works

To understand why this is so significant, you need a working model of your autonomic nervous system. The autonomic nervous system is the part of your nervous system that regulates all the functions you don’t consciously control, like your heart rate, digestion, immune function, blood pressure, and hormone release. It has two primary branches: the sympathetic nervous system, which accelerates and mobilises (the so-called fight-or-flight response), and the parasympathetic nervous system, which restores, repairs, and regulates. The vagus nerve is the great highway of the parasympathetic system, connecting your brain to your heart, lungs, gut, and essentially every major organ in your body.

The problem most people face in modern life is not that their stress response activates (that’s exactly what it’s designed to do). The problem is that it never fully deactivates. Low-grade, chronic sympathetic activation has become the default resting state for enormous numbers of people, and the downstream effects touch everything: sleep quality, immune function, emotional regulation, decision-making, cardiovascular health, metabolic health, and longevity. You may not feel acutely stressed most of the time, but if your nervous system is chronically tilted toward sympathetic dominance, you are paying a price.

Heart Rate Variability is the metric that most reliably reflects the balance between these two systems. When your parasympathetic system is active, and your vagal tone is high, your heart rate does not beat with metronomic regularity; it actually varies from beat to beat in a healthy, complex pattern. This beat-to-beat variation is HRV. A higher, more complex HRV is associated with better cardiovascular health, greater psychological resilience, faster recovery from exercise and illness, better emotional regulation, and lower all-cause mortality. A low, rigid HRV (where beats are metronomically regular) reflects a nervous system under stress, with diminished parasympathetic activity.

HRV is not, as many people assume, only relevant for elite athletes tracking recovery. It is a fundamental marker of physiological health that matters for everyone. If you’re managing chronic stress, poor sleep, anxiety, cardiovascular risk, or simply trying to function well and live fully, your HRV is one of the most informative windows you have into how your body is actually coping.

Respiratory Sinus Arrhythmia is the specific mechanism that makes breathing such a powerful lever for HRV. As you inhale, your heart rate naturally speeds up slightly. As you exhale, it slows down. This is not coincidental; it is a direct expression of vagal influence on the heart, and the amplitude of this speeding up and slowing down reflects the strength of your parasympathetic drive. When you breathe in a slow, rhythmic pattern, you are rhythmically modulating your heart rate in a way that directly exercises vagal tone. The slower and more rhythmic the breath, the more pronounced this effect.

The Baroreflex is the other piece of the puzzle. Your body has pressure sensors called baroreceptors in the walls of your aorta and carotid arteries that continuously monitor blood pressure. When blood pressure rises, the baroreflex sends signals to slow the heart down. When it falls, it sends signals to speed it up. This creates a natural oscillation in heart rate and blood pressure. In most adults, this cycle occurs at approximately 0.1 Hz, which corresponds to a period of about ten seconds, or roughly six complete breaths per minute. This is why six breaths per minute is often cited as the resonance frequency, because for the average adult, it aligns breathing rhythm with the natural oscillation frequency of the baroreflex.

When breathing rhythm and baroreflex oscillation synchronise, something cool happens. The two systems amplify each other. Respiratory sinus arrhythmia increases dramatically. HRV peaks. This is cardiorespiratory coherence: a state in which your heart, lungs, and autonomic nervous system are operating in synchrony, and the physiological benefits are at their maximum. Researchers Paul Lehrer and Richard Gevirtz have spent decades studying this phenomenon, and the evidence base for resonance breathing as a clinical intervention for conditions ranging from hypertension and asthma to anxiety, depression, and PTSD  is among the most robust in the biofeedback literature.

 

Your Resonant Frequency Is Uniquely Yours

However, it is important to understand that six breaths per minute is not a universal prescription. It is an average, derived from population-level data, and like all averages, it conceals significant individual variation. Your personal resonant frequency, the breathing rate at which your cardiovascular system achieves maximum HRV amplification, depends on a constellation of factors: your height, your heart size, the elasticity of your arterial walls, your baseline autonomic tone, and even your fitness level. In practice, individual resonant frequencies typically range from about 4.5 to 6.5 breaths per minute.

This might sound like a small difference, but physiologically it is not. Breathing at 5.5 breaths per minute when your resonant frequency is actually 4.8 is like pushing that swing a fraction of a second late every time, and you are not achieving the full resonance effect. The coherence score remains lower, the HRV amplification is reduced, and you are leaving significant benefit on the table. This is precisely why biofeedback matters here, and why the Triage Resonance Breathing Tool above gives you five different rate presets spanning the full range of typical resonant frequencies rather than simply defaulting to six.

Finding your personal frequency transforms resonance breathing from a generic relaxation technique into a targeted, individualised intervention. Once you know your number, every session becomes maximally effective from the first breath.

 

How to Use the Triage Resonance Breathing Tool

The Triage Resonance Breathing Tool above integrates two things that are typically found only in expensive clinical biofeedback setups: a visual breathing pacer and live cardiorespiratory coherence analysis. Here is how to get the most from it.

The Breathing Pacer is the foundation. It gives you a visual guide (a circle that expands as you inhale and contracts as you exhale), so that your breath becomes steady and rhythmic without you having to count internally. The rate presets along the top correspond to the range of typical resonant frequencies: 4.5, 5.0, 5.5, 6.0, and 6.5 breaths per minute. You can also adjust inhale, exhale, and hold durations manually if you want to explore. For most people, an equal inhale-to-exhale ratio with no hold is the starting point. The breathing itself should feel slow and comfortable, not strained, not shallow, but a deep, full breath that fills the lower lungs. Diaphragmatic breathing matters here: if your shoulders are rising rather than your belly expanding, you are not breathing in a way that fully activates the vagal pathways.

The Coherence Score and HRV Metrics are available when you connect a Bluetooth chest strap heart rate monitor, which broadcasts the raw RR interval data (the time between each heartbeat) that coherence analysis requires. The tool collects these intervals, filters out artefacts, resamples the data, and runs a Fast Fourier Transform to produce a power spectral density curve of your heart rate variability. The coherence score reflects the prominence of the peak in the frequency band corresponding to your breathing rate, which is essentially, how clearly your HRV is oscillating in synchrony with your breath. A score of 60 or above reflects strong coherence. The HRV metrics (RMSSD, SDNN, HF power, LF/HF ratio) give you a comprehensive picture of your autonomic state during the session.

If you do not have a chest strap, the pacer remains fully functional as a standalone tool, and the fundamental practice of breathing at your resonant frequency is beneficial whether or not you are measuring it in real time. The biofeedback simply adds precision and feedback that accelerates the learning process considerably.

The Resonant Frequency Finder is where things get even more interesting. The finder allows you to systematically test each of the five preset rates, measuring your coherence response at each one across a two-minute dwell period, which is long enough for the cardiovascular system to stabilise and produce a reliable reading. You breathe at each rate in turn, the tool records your average coherence score at each one, and over the course of a single extended session, it identifies which rate produces the highest coherence in your body. Your personal resonant frequency is the rate at which your score peaks, and you are able to maintain that high. The finder marks this visually, and once identified, that rate becomes your training target for all future sessions.

The practical approach is to run the finder once, thoroughly, and then use that identified frequency for your regular practice. You do not need to repeat the full discovery process every session, as your resonant frequency is relatively stable, although it can shift with significant changes in fitness, health, or autonomic tone, so revisiting it every few months is worthwhile.

 

Who Benefits Most from Resonance Breathing

Resonance breathing is genuinely useful for anyone with a nervous system (everyone). But there are particular populations for whom the practice is especially valuable, and understanding where you fit helps you frame it appropriately.

People managing chronic stress or anxiety will likely notice the most dramatic acute effects. If your baseline is one of chronic sympathetic activation (the feeling of always being slightly on edge, of struggling to genuinely switch off), resonance breathing directly addresses the physiological root of that state. With consistent practice, the research shows meaningful reductions in anxiety symptoms, lower baseline cortisol, and improved emotional regulation. This is because you are directly training your baroreflex sensitivity and vagal tone.

Athletes and people focused on performance recovery benefit from resonance breathing as a recovery accelerator. HRV is one of the primary metrics used in elite sport to assess readiness to train, and resonance breathing is one of the most reliably effective ways to shift HRV upward between training sessions. A ten-minute session after hard training or competition accelerates the transition from sympathetic to parasympathetic dominance, supporting faster physiological recovery. Morning resonance breathing sessions also give you a reliable snapshot of your HRV baseline, which over time becomes a meaningful signal for managing training load.

People with cardiovascular concerns should know that resonance breathing has one of the most substantial evidence bases of any non-pharmacological intervention for blood pressure. Multiple randomised controlled trials have demonstrated clinically meaningful reductions in both systolic and diastolic blood pressure with regular practice, driven by the improvements in baroreflex sensitivity that coherence training produces. If you have hypertension or are at cardiovascular risk, the Triage Resonance Breathing Tool can be extremely helpful.

People with sleep difficulties often find resonance breathing transformative as a pre-sleep practice. The transition into sleep requires a shift from sympathetic to parasympathetic dominance, and if your nervous system is chronically stuck in activation, that transition is disrupted. A ten to fifteen-minute resonance breathing session in the hour before bed can meaningfully improve sleep onset latency and sleep quality by facilitating the autonomic transition your body needs to make.

Busy parents, carers, and people in high-demand roles benefit from resonance breathing as a recovery tool between demands rather than only as a once-daily practice. Three to five minutes of paced breathing at your resonant frequency before a difficult conversation, between back-to-back meetings, or in the car before walking through the front door after a hard day is enough to produce a meaningful shift in your physiological state, which in turn affects the quality of your presence, your patience, and your decision-making in those moments that matter.

Shift workers deserve a specific mention because their circadian disruption creates chronic autonomic dysregulation that compounds the ordinary effects of stress. Resonance breathing does not fix a disrupted sleep schedule, but as a portable, flexible tool that can be used at any time of day or night, it provides a consistent means of nervous system regulation regardless of when your body clock thinks it is.

Older adults benefit from the fact that HRV naturally declines with age, partly due to reduced baroreflex sensitivity. Resonance breathing training has been shown to partially reverse this decline, preserving the autonomic flexibility that is associated with healthy ageing and reduced cardiovascular risk.

 

Acute Effects Versus Long-Term Adaptation

It is worth being clear about the distinction between what resonance breathing does right now and what it builds over time, because both are real and both matter.

In a single session, the acute effects are measurable within minutes. Coherence rises, HRV amplifies, parasympathetic tone increases, blood pressure drops slightly, and subjectively, most people report a shift toward calm, clarity, and a reduction in the sense of mental urgency that characterises a stress-activated state. These effects are real and immediately valuable, which is why using resonance breathing before a demanding situation or after a stressful one is genuinely useful even without a long-term practice.

The long-term adaptations, however, are where the deeper value lies. With consistent practice over weeks and months, resonance breathing training produces lasting increases in baseline HRV, improved baroreflex sensitivity, reduced resting blood pressure, and measurable changes in how the nervous system responds to stress, not just during practice, but throughout the day. You are not just calming yourself temporarily; you are training your autonomic nervous system the way endurance training trains your cardiovascular system. The adaptations are structural and persistent. Research by Lehrer and colleagues consistently demonstrates these lasting changes with as little as four to eight weeks of regular practice.

The dose-response relationship is relatively forgiving. Ten to twenty minutes per day is the most studied protocol and produces reliable results. But the research also suggests that consistency matters more than duration, so five minutes daily is likely more beneficial than thirty minutes twice a week. The practice is also cumulative, and every session builds on the last, and people who have been practising for months typically show substantially higher baseline coherence scores than beginners, reflecting autonomic adaptation (more resilience).

 

Making It a Real Practice

The gap between knowing something is good for you and actually doing it is where most health intentions go to die, so let’s be practical about how to integrate resonance breathing into your life rather than leaving you with a vague instruction to practice daily.

The most reliable approach is to anchor your resonance breathing session to something that already happens consistently. Morning coffee, the ten minutes before you open your laptop, the school run return, or wherever there is already a habit, you can attach a session. A morning practice has the added advantage of giving you a consistent HRV baseline reading over time, which is very informative about your physiological state and how factors like sleep, alcohol, training load, and illness affect your autonomic function.

Beyond a regular session, the flexibility of this practice is one of its underappreciated strengths. You do not need equipment (although a bluetooth chest strap is extremely helpful for the Triage Resonance Breathing Tool and finding your unique resonance breathing frequency), a quiet room, or a significant block of time to benefit. Three to five minutes at your identified resonant frequency, breathing with intention, can shift your physiological state in ways that genuinely affect what comes next. Before a presentation, an important conversation, a training session, or any moment where you want to be at your best, a short resonance breathing practice is a tangible preparation rather than an empty ritual.

The important thing, as with any health practice, is not to let the perfect be the enemy of the good. A five-minute session on a busy day is not a compromise; it is the practice. Some days you will have twenty minutes and biofeedback data and a quiet room. Other days you will have five minutes and no equipment. Both are worth doing, and both build the adaptation over time.

 

Triage Resonance Breathing Tool Conclusion

There is a tendency in health culture to treat interventions like resonance breathing as stress management tools. Useful, perhaps, but ultimately supplementary to the more important work of nutrition, exercise, sleep, and so on. This framing drastically undersells how helpful things like resonance breathing can be.

Your autonomic nervous system is not a background process. It is the substrate through which you experience and engage with every aspect of your life. The quality of your attention, the depth of your presence in relationships, your capacity for clear decision-making under pressure, your emotional availability to the people who matter to you, and your resilience in the face of difficulty all run through your nervous system, and all of them are affected by whether it is chronically dysregulated or well-calibrated.

Sartre’s insight that existence precedes essence, that we are not fixed things but ongoing acts of becoming, applies here with full force. You are not someone who is simply anxious, or reactive, or unable to switch off. You are someone whose nervous system has adapted to particular conditions, and those adaptations can change. Every resonance breathing session is a vote for a different physiological state, and those votes accumulate into transformation over time. You are not at the mercy of your stress response. You are, with the right tools and consistent practice, capable of reshaping it.

The Triage Resonance Breathing Tool gives you everything you need to begin that process precisely and intelligently: a pacer to guide your breathing, a finder to identify your personal frequency, and biofeedback to confirm that what you are doing is working. The science is solid, the investment is minimal, and the returns compound over time.

As with everything, there is always more to learn, and we haven’t even begun to scratch the surface with all this stuff. However, if you are interested in staying up to date with all our content, we recommend subscribing to our newsletter and bookmarking our free content page. 

If you would like more help with your training (or nutrition), we do also have online coaching spaces available.

If you want even more free information, you can follow us on Instagram, YouTube or listen to the podcast, where we discuss all the little intricacies of exercise.

Finally, if you want to learn how to coach nutrition, then consider our Nutrition Coach Certification course. We do also have an exercise program design course, if you are a coach who wants to learn more about effective program design and how to coach it. We do have other courses available too, notably as a sleep course. If you don’t understand something, or you just need clarification, you can always reach out to us on Instagram or via email.

 

This article and tool was created by Paddy Farrell.

 

References and Further Reading

Lehrer PM, Vaschillo E, Vaschillo B. Resonant frequency biofeedback training to increase cardiac variability: rationale and manual for training. Appl Psychophysiol Biofeedback. 2000;25(3):177-191. doi:10.1023/a:1009554825745 https://pubmed.ncbi.nlm.nih.gov/10999236/

Lehrer PM, Gevirtz R. Heart rate variability biofeedback: how and why does it work?. Front Psychol. 2014;5:756. Published 2014 Jul 21. doi:10.3389/fpsyg.2014.00756 https://pubmed.ncbi.nlm.nih.gov/25101026/

Vaschillo EG, Vaschillo B, Lehrer PM. Characteristics of resonance in heart rate variability stimulated by biofeedback. Appl Psychophysiol Biofeedback. 2006;31(2):129-142. doi:10.1007/s10484-006-9009-3 https://pubmed.ncbi.nlm.nih.gov/16838124/

Lehrer PM, Vaschillo E, Vaschillo B, et al. Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosom Med. 2003;65(5):796-805. doi:10.1097/01.psy.0000089200.81962.19 https://pubmed.ncbi.nlm.nih.gov/14508023/

Shaffer F, Meehan ZM. A Practical Guide to Resonance Frequency Assessment for Heart Rate Variability Biofeedback. Front Neurosci. 2020;14:570400. Published 2020 Oct 8. doi:10.3389/fnins.2020.570400 https://pmc.ncbi.nlm.nih.gov/articles/PMC7578229/

Steffen PR, Austin T, DeBarros A, Brown T. The Impact of Resonance Frequency Breathing on Measures of Heart Rate Variability, Blood Pressure, and Mood. Front Public Health. 2017;5:222. Published 2017 Aug 25. doi:10.3389/fpubh.2017.00222 https://pubmed.ncbi.nlm.nih.gov/28890890/

Capdevila, L., Parrado, E., Ramos-Castro, J. et al. Resonance frequency is not always stable over time and could be related to the inter-beat interval. Sci Rep 11, 8400 (2021). https://doi.org/10.1038/s41598-021-87867-8

Lalanza JF, Lorente S, Bullich R, García C, Losilla JM, Capdevila L. Methods for Heart Rate Variability Biofeedback (HRVB): A Systematic Review and Guidelines. Appl Psychophysiol Biofeedback. 2023;48(3):275-297. doi:10.1007/s10484-023-09582-6 https://pmc.ncbi.nlm.nih.gov/articles/PMC10412682/

Jarczok MN, Weimer K, Braun C, et al. Heart rate variability in the prediction of mortality: A systematic review and meta-analysis of healthy and patient populations. Neurosci Biobehav Rev. 2022;143:104907. doi:10.1016/j.neubiorev.2022.104907 https://pubmed.ncbi.nlm.nih.gov/36243195/

Fang SC, Wu YL, Tsai PS. Heart Rate Variability and Risk of All-Cause Death and Cardiovascular Events in Patients With Cardiovascular Disease: A Meta-Analysis of Cohort Studies. Biol Res Nurs. 2020;22(1):45-56. doi:10.1177/1099800419877442 https://pubmed.ncbi.nlm.nih.gov/31558032/

Laborde S, Allen MS, Borges U, et al. Effects of voluntary slow breathing on heart rate and heart rate variability: A systematic review and a meta-analysis. Neurosci Biobehav Rev. 2022;138:104711. doi:10.1016/j.neubiorev.2022.104711 https://pubmed.ncbi.nlm.nih.gov/35623448/

Goessl VC, Curtiss JE, Hofmann SG. The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis. Psychol Med. 2017;47(15):2578-2586. doi:10.1017/S0033291717001003 https://pubmed.ncbi.nlm.nih.gov/28478782/

Lehrer P, Kaur K, Sharma A, et al. Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis. Appl Psychophysiol Biofeedback. 2020;45(3):109-129. doi:10.1007/s10484-020-09466-z https://pubmed.ncbi.nlm.nih.gov/32385728/

Pizzoli, S.F.M., Marzorati, C., Gatti, D. et al. A meta-analysis on heart rate variability biofeedback and depressive symptoms. Sci Rep 11, 6650 (2021). https://doi.org/10.1038/s41598-021-86149-7

Lin G, Xiang Q, Fu X, et al. Heart rate variability biofeedback decreases blood pressure in prehypertensive subjects by improving autonomic function and baroreflex. J Altern Complement Med. 2012;18(2):143-152. doi:10.1089/acm.2010.0607 https://pubmed.ncbi.nlm.nih.gov/22339103/

Burlacu A, Brinza C, Popa IV, Covic A, Floria M. Influencing Cardiovascular Outcomes through Heart Rate Variability Modulation: A Systematic Review. Diagnostics (Basel). 2021;11(12):2198. Published 2021 Nov 25. doi:10.3390/diagnostics11122198 https://pmc.ncbi.nlm.nih.gov/articles/PMC8700170/

Tsai HJ, Kuo TB, Lee GS, Yang CC. Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology. 2015;52(3):388-396. doi:10.1111/psyp.12333 https://pubmed.ncbi.nlm.nih.gov/25234581/

Jiménez Morgan S, Molina Mora JA. Effect of Heart Rate Variability Biofeedback on Sport Performance, a Systematic Review. Appl Psychophysiol Biofeedback. 2017;42(3):235-245. doi:10.1007/s10484-017-9364-2 https://pubmed.ncbi.nlm.nih.gov/28573597/

Perez-Gaido M, Lalanza JF, Parrado E, Capdevila L. Can HRV Biofeedback Improve Short-Term Effort Recovery? Implications for Intermittent Load Sports. Appl Psychophysiol Biofeedback. 2021;46(2):215-226. doi:10.1007/s10484-020-09495-8 https://pmc.ncbi.nlm.nih.gov/articles/PMC8134285/

Chaitanya S, Datta A, Bhandari B, Sharma VK. Effect of Resonance Breathing on Heart Rate Variability and Cognitive Functions in Young Adults: A Randomised Controlled Study. Cureus. 2022;14(2):e22187. Published 2022 Feb 13. doi:10.7759/cureus.22187 https://pmc.ncbi.nlm.nih.gov/articles/PMC8924557/