Autonomic: HRV & POTS Tracker

Autonomic: HRV & POTS Tracker

Pacing for Long COVID & ME/CFS

14 ratings
6 reviews
Free
In-App Purchases

Details

Released
July 20, 2026
Updated
October 30, 2026

Features

Autonomic: HRV & POTS Tracker screenshot #1 for iPhone
Autonomic: HRV & POTS Tracker screenshot #2 for iPhone
Autonomic: HRV & POTS Tracker screenshot #3 for iPhone
Autonomic: HRV & POTS Tracker screenshot #4 for iPhone
Autonomic: HRV & POTS Tracker screenshot #5 for iPhone
Autonomic: HRV & POTS Tracker screenshot #6 for iPhone
Autonomic: HRV & POTS Tracker screenshot #7 for iPhone
Autonomic: HRV & POTS Tracker screenshot #8 for iPhone
Autonomic: HRV & POTS Tracker screenshot #9 for iPhone
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About

This app helps individuals manage chronic conditions like Long COVID, ME/CFS, and POTS by providing a daily pacing budget based on personal HRV readings and activity levels. It offers detailed HRV analysis, cycle impact tracking, and POTS testing, all while prioritizing user privacy with no account or ads.

✓Daily pacing budget based on personal data
✓HRV analysis from various devices
✓Cycle impact tracking for women
✓Guided POTS testing
✓Comprehensive symptom and trigger logging
✓On-device data processing and insights
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What's New in Autonomic

1.38.1

October 30, 2026

NEW: Cycle impact tracking. Log your period or bring your history in from Apple Health, and see how your cycle moves your RMSSD, heart rate, symptoms and daily score. Your scores and warnings now account for it, so a dip before your period is not read as a setback. And many smaller changes based on your feedback. Thank you!

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Subscriptions & In-App Purchases

Autonomic Pro Yearly Promo

The Autonomic Pro Yearly Subscription Half Off

$24.991 Year
How to cancel Autonomic subscription ⁉️

Events

Read more about Dysautonomia Awareness Month

Dysautonomia Awareness Month

Take daily HRV readings to win an Apple Watch

Oct 1, 2026 — Oct 31, 2026

User reviews

Best Dysautonomia/POTS Tracker!

I’ve been through a dozen apps trying to manage my POTS and PEM. I can say without a doubt Autonomic is the BEST one I’ve tried. Not only can I track my water intake, meds and symptoms but I’m also able to track triggers. The app takes this info and gives me insights into what’s impacting me. The HRV tracking is the best one I’ve tried so far and most aligns with how I feel. The POTS episode tracking and test are also super useful. All in all, this is THE app if you have chronic illness. The dev is super nice and willing to add features too which is awesome. (Love the Apple Watch integrations!)
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Ok but buggy

It’s a bit buggy and doesn’t work well with just the phone camera to read the HRV. It would be nice to be able to pair it with Kardia since that’s what a lot of POTS people use to track tachycardia, etc.

Response from developer

I appreciate you taking the time to give feedback. You are right about the camera, of all the ways to get HRV, it is the most difficult because it's so easy to introduce noise (hands aren't warm enough, accidental movement, etc). I continue to try and make it a better experience, but it will always be a less than ideal experience compared to a wearable or chest strap. The main reason we offer it is because many people who suffer from chronic illnesses don't have money to spend on a device, so it's the only way they can capture their HRV, so I hope you'll understand. I'll continue to try to improve the camera experience though, thank you! As for Kardia, I would love to support it, but AliveCor (the manufacturer) does not have an open Bluetooth interface for their devices, so it's not something I can simply add. I'll definitely continue to try to find a way to support it as that would be a great option. If you want to tell me more about your camera readings, please reach out to austin@autonomic.care and I'll try my best to help :)

Necessity for non-athlete health tracking

Only app that isn’t for athlete training and specific to dysautonomia. Very good to have symptoms measured with health tracker I already have (Apple Watch). Will get chest strap HR monitor to improve tracking. Patience is required and lots of measurements. Already seeing actionable data results after 5 days of consistent usage.
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Extremely helpful app

This app is great! I’ve only had it 2 days and it’s already helping me manage my health and gather data to show providers. This is one of the only apps that prioritizes privacy which is what made me download it, but it’s doing everything and more so far.

Good app, good customer service

I don’t have pots, just wanted to track my hrv. Gave me all the info I was looking for and seems really well made. Also reached out with questions and they wrote back quickly to help me. Very happy.

FAQ

What is Autonomic's daily pacing budget?

Autonomic sets a daily pacing budget in minutes of effort, tailored to your personal history and activity levels like workouts, steps, and time upright. It also accounts for standing still, as upright time is particularly costly with POTS.

How does Autonomic track HRV?

Autonomic can measure beat-to-beat RR intervals for 5-minute sessions using a chest strap, Apple Watch, Garmin, or your phone's camera. It computes various HRV metrics on-device, including SDNN, RMSSD, and coherence, and corrects for artifacts in noisy readings.

Does Autonomic offer cycle tracking?

Yes, Autonomic features cycle impact tracking. It shows how your cycle affects HRV, heart rate, and symptoms, and adjusts your daily score accordingly. You can log your period easily or import history from Apple Health.

Can Autonomic test for POTS?

Yes, Autonomic includes a guided lie-and-stand test for POTS directly on your Apple Watch or with a chest strap. It captures baseline, the heart rate climb, and recovery data to help identify POTS episodes.

Is my data private with Autonomic?

Autonomic prioritizes user privacy with an offline-first approach. There is no account creation, no cloud storage, and no ads, ensuring your data never leaves your phone. You can export all your data at any time.

What is the pricing for Autonomic?

Autonomic offers 14 days of full access upon installation. After the trial, the journal and live HRV features remain free forever. Additional features and advanced access are available through subscription plans, including monthly and yearly options.

How often is Autonomic updated?

Autonomic was last updated on October 30, 2026, with version 1.38.1. The app is actively maintained, suggesting regular updates to improve features and address user needs.

What devices does Autonomic support?

Autonomic is supported on Apple Watch, iPhone, and iPod. It can integrate with chest straps and Garmin devices for HRV and heart rate data collection.