Heartbeat Music

Little Etudes for Piano based on aberrations of cardiac electrophysiology performed by Dora Delyska at the First Hypertrophic Cardiomyopathy Patient Meeting in Vienna with introductions by EC


Since 2017, I have been making music from abnormal heartbeats in consultation with leading academic physicians and device makers. Some of this music has been deployed in pedagogical videos. The music has won the BBC World Service Unexpected Elements’ : Unexpected Oscar for Best Original Music. The method for making these pieces is described in:
Chew, E. (2021). On Making Music with Heartbeats. In: Miranda, E.R. (eds) Handbook of Artificial Intelligence for Music. Springer, Cham. doi: 10.1007/978-3-030-72116-9_9

Stolen Rhythms (2017, 2022)

Inspired by a conversation with Jem Lane before a cardiac ablation procedure; method worked out during procedure in the catheterisation laboratory
I. Mixed Meters by Larsen-Chew
II. Siciliane by Bach-Chew
III. Tango by Piazzolla-Chew
IV. March by Rachmaninoff-Chew
V. Nocturne by Chopin-Chew
VI. Adagio by Schubert-Chew

[ COSMONOTE (I-VI) ][ VIDEO DIDACTIC (I-III) ][ SCIENTIFIC AMERICAN OPED (I-III) ]

Arrhythmia Suite (2017–2021)

Based on ventricular arrhythmias: before, during, and after. I and II were made with the help of Radcliffe Research Partners DS/AK/MY at the Radcliffe Institute for Advanced Study and based on ECGs retrieved by MO from PL’s cathlab procedures
I. 161122 VT before during after ECG (2017–2018)
II. 161102 VT4 before after UNI
(2017–2018)
by Elaine Chew
with rhythm transcription by Radcliffe Research Partners Daniel Soberanes, Ashwin Krishna, Matthew Ybarra, and
electrophysiology data provided by Michele Orini, Pier Lambiase
III. Ventricular Ectopics with Short Ventricular Tachycardia Runs (2021)
by Elaine Chew
[ PLAYLIST ][ COSMONOTE ][ SCIENTIFIC AMERICAN OPED (III) ]

Little Etudes for Piano (2020)

Based on aberrations of cardiac electrophysiology
I. Atrial Fibrillation
II. Bigeminy Sea-snatch (Ventricular Bigeminy)
III. Atrial Flutter
IV. The Girl with the Labile T Waves
V. Per Torsade (Torsade de Pointes)
VI. A La Bru Rondo Turk (Ventricular Ectopics)
VII. Wenckebach Lullaby (Wenckebach Block)

by Elaine Chew with explanations by Prof Pier Lambiase (Barts Heart Centre / UCL)
[ VIDEO ][ EHJ CARDIOPULSE ][ SCORES ]

Pacemaker Studies (2026)

First six are data from a pacemaker patient whose heartbeats progress from normal to ventricular fibrillation (and is revived) while on a treadmill; the last is data from a young pacemaker patient who is an athlete
I. Failure to capture
II. P-synchronous pacing
III. PVCs and VA intervals
IV. P-synchronous pacing near limit
V. Max rate patterned beating
VI. Polymorphic VT to VF
VII. Intermittent V failure to capture

created by Elaine Chew
in consultation with David Hayes (CMO, Biotronik; ex-Mayo)

Defibrillation (in progress)

Mouse 1730 Heart Music (2023)

Mouse #1730 at 6M and 30M, with and without brain input
I. 6M with brain input (fragments of Broadway by Minsky*)
II. 6M without brain input (some fragments from Broadway by Minsky)
III. 30M with brain input (direct mapping to chromatic pitches, occasional 2nds)
IV. 30M without brain input (inspired by harmonies of Minsky’s October Waltz with a bit of Broadway)
(* from Ten American Cello Etudes)
by Elaine Chew, Syevda Tagirova, Victor Maltsev, Ed Lakatta
[ VIDEO ][ NIH I AM BLOG ] with explanations by Ed Lakatta (NIH)