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Carney, Ph.D., principal professor and investigator of psychiatry. We also found that lower heartrate variability was in charge of a sizeable part of that risk. To monitor heart rate variability, sufferers wore portable heart monitors every day and night after their heart attack. Heart rate variability measures how the center adjusts to varying degrees of demand. In people with low heart rate variability, the heart doesn’t make adjustments as quickly as needed. We’ve known for quite a while that depression increases the threat of death from heart disease, but we didn’t understand why depressed patients were more likely to die and whether heart rate variability had anything regarding the chance, Carney says.