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Chronomedical Health Assessment
A Proactive Approach towards maintaining
Health, High Performance and Longevity
" What is Chronomedicine? "
" What is Heart Rate Variability? "
Heart Rate Variability (HRV) measures the changing intervals between two
heartbeats. HRV reduces with age and ill health, and is an accurate indicator for
the short and long term impact of stress, the quality of sleep, the biological age
(vitality), the adaptability of the organism (risk of accidents) and the capacity to
regenerate and recuperate from strain. Today, heart rate variability is a
scientifically well-recognized indicator that measures health and indicates the risk
of illness, accidents and mortality. It allows the early diagnosis, health
monitoring and the assessment of the efficacy of therapeutic interventions and
contributes importantly towards effective health promotion, as well as prevention
and treatment of serious illness.
" What is the Autochronic Image? "
The HeartMan is a heart monitor for a 24hour ECG that measures heart rate
variability, the beat-to-beat intervals of the heart with very high precision, and
matches it to your daily activity profile. The autochronic image (ACI) is an
analysis of the frequencies and changes of your heartbeat during 24 hours
matched against your daily activity. All individual data is referenced against a
database with a large number of healthy individuals of the same age and sex
and at the same time of the day.
- Biological / chronological age, your true age
- Quality of sleep: Stages of sleep, depth of sleep, ability to fall asleep, arousal during sleep, recovery through sleep
- Width of frequency and intensity of the Heart Rate Variability (a powerful predicting indicator for chronic disease)
- Autonomic nervous system balance
- Flexibility: Ability of the organism to adjust to challenging situations
- Resilience: Appropriate, excessive or too low challenge or demand
- Ability to recover: During day and night time, during work and free time
ACI Examples:
Boy - 10 years old
Female chief executive - 40 years old

See the strongly developed blue area in the second graph (below the midline), indicating strong parasympathetic, restoring activity during seep.

Overall reduced activity in the ACI, which indicates a poor level of vitality at present. The para-sympathetic activity (recovery) during sleep is comparatively poor. (The second graph shows no blue area.) Overall strong sympathetic activity (strain) during sleep that indicates too much dream activity (processing of day experiences) during sleep. Pre- burn out picture.
The first two graphs show a relatively high heart rate, the next two graphs show a relatively poor parasympathetic activity (responsible for health protection and recovery), compared to her age group. The third graph shows the comparison data with individuals of the same age and sex.
" What will it involve? "
Dr. Gruenewald, M.D. will see you for the initial consultation, and take your medical
history, current health status and a short stress test. The heart monitor will be
fitted in the same session. It is small, light, very easy to handle, and can be worn
comfortably, for example on your belt or carry it in your pocket. Over the next 24
hours you will keep a written activity protocol and note down any activity that lasts
longer than 15 minutes. After 24 hours you will be remove the heart monitor (ECG)
and bring it back to the clinic or send it by currier.
Two weeks later Dr. Gruenewald will discuss with you the outcome of the
investigation and will advice you on improving your health, discuss possible life
style changes and may, where appropriate, introduce to you simple but effective
Heart Rate Variability Training exercises, such as breathing techniques and
emotional management exercises. You will receive a written report with graphics
from the autochronic image and the stress test, as well as a summary of the
outcome of the consultation.

Important Links & Resources
"HeartSpheres utilises emotional management tools, based on ground-breaking scientific research, to achieve the transformation from negative to positive emotional states. It works by harmonising the three spheres of cognition, emotion and will to manage extreme emotions and stress proactively and productively."
Peter Gruenewald, MD
