Guest post by Elaine Chew

As a child, having supra-ventricular tachycardia meant that, due to extra electrical pathways in my heart, a simple trigger such as an early heartbeat could double my heart rate at any time. The early beat is often hard to feel, but the delayed beat that follows was unmistakeable—a big thump! that would jump start the doppio movimento. (For an example of doppio movimento, Professor John Rink has kindly suggested the beginning of Chopin’s Piano Sonata No. 2 in B-flat minor, Op. 35; see a performance by Ivo Pogerelich.) Another thump would end the tachycardia episode as abruptly as it began, which was as likely to be three seconds, thirty minutes, or three hours later.

Doubling the heart rate is fine and good when one is at rest, say seated and reading; twice 60 beats per minute (bpm) would only be 120 bpm, still within a normal range. But rate doubling can be problematic when exercising, like when swimming, where doubling the heart rate of 120 bpm results in a breathless 240 beats per minute and seeing stars if standing upright, the only recourse at this point being lying horizontal and waiting for the episode to pass.

This non-deadly but troublesome arrhythmia was cured through a minimally invasive procedure called radio frequency ablation, which burns the dysfunctional tissue in the heart. The scar tissue that forms can no longer conduct electricity, and the circuit is thus broken. For a long time afterwards, every skipped heartbeat would still cause my muscles to tense and my breathing to pause in anticipation of tachycardia that never materialised, making me realise how unconsciously arrhythmia had impacted my life. I was thus blissfully arrhythmia free until atrial fibrillation hit.

The rhythms of tachycardia were rapid and regular, but atrial fibrillation was irregular in both musical rhythm and pacing. It is also associated with increased risks of mortality if allowed to progress unchecked. My heart started making its own funky rhythms like the following:

which was meticulously transcribed from the inter-beat intervals in the electrocardiogram (ECG) recording from a Holter monitor:

This is not unlike the kinds of rhythms musicians are used to reading. A minor adjustment to the well-known Siciliano, the middle movement from the Flute Sonata in E-flat major (BWV 1031) by J. S. Bach, readily produces an exact fit to the transcribed rhythm:

See the video with audio playback of the modified Bach Siciliano. Readers interested in the gnarly details of the transcription process and its precision can refer to this Music & Science article on notating temporal deviations in music and arrhythmia.

AF is a fast growing global epidemic; statistics show that the condition afflicts over two million people in the UK alone. The inefficient blood flow through the heart in AF increases the risk of blood clots that can lead to stroke. Many people with AF are unaware that they have the condition, but I was amongst those doctors euphemistically describe as very symptomatic. Another ablation procedure—this time with freezing balloons (cryo-ablation)—created barriers in my heart, rings of scar tissue around the pulmonary veins, to contain the errant electrical activity, thus curing the condition.

When the consultant cardiologist came by the ward to ask if I had any questions, I asked for ECG data that I could use for musical analysis and experimentation. This has led to a number of computational projects, mostly scientific in nature, but the first of these was a growing set of piano pieces called the Arrhythmia Suite. With the help of three research partners at the Radcliffe Institute for Advanced Study at Harvard, the inter-beat durations were extracted from the ECG traces and the rhythms carefully transcribed. I then cannibalised existing music to make collage pieces based on these rhythms. See the video on the making of the Arrhythmia Suite. When performed, the pieces make visceral the rhythmic experience of arrhythmia.

On Tuesday, 20 November 2018, at 1pm, I will perform these pieces in Heart & Music at the Octagon (Queen’s Building, 327 Mile End Road, London E1 4NS) at Queen Mary University of London, as part of the Being Human Festival. The concert programme will feature music made from stolen rhythms, including the ones taken from ECG traces of cardiac arrhythmias. Professor Pier Lambiase, the consultant cardiologist who led the clinical team on both ablation procedures, will give a short introduction to arrhythmia research at the Barts Heart Centre before the performance. Admissions to Heart & Music, which kicks off the all-day Keyboard Evolutions event is free, but booking is recommended.

Other pieces on the recital programme include Cheryl Frances-Hoad’s Haydn’s Stolen Rhythm (2009), in which the composer assigns new pitches to the third movement (Finale) of Haydn’s Sonata in E-flat, Hob XVI:45, keeping intact Haydn’s original rhythms; Practicing Haydn (2013) is a transcription of my sight-reading of the same Haydn sonata movement complete with hesitations and repetitions—this was a collaboration with composer Peter Child and conceptual artist Lina Viste Grønli that premiered at the grand opening of the Kunsthall Stavanger; Intermezzo (2015) was written by Jonathan Berger for pianist Pedja Muzijevic’s Haydn Dialogues; and, compositions based on J. S. Bach’s A Little Notebook for Anna Magdalena and Kabelevsky’s 30 and 24 Pieces for Children (2016) were created by a computer programme called MorpheuS, written by Dorien Herremans as part of her Marie Skłodowska-Curie Fellowship in my lab.

Following the concert, at 2:30pm, an interactive workshop will enable free-form Q&A with Profs. Lambiase, Peter Taggart, and myself on the preceding presentations as well as our ongoing study on cardiac response to live music performance. Abnormal heart rhythms can often be linked to strong emotions or mental stress. Because music is a powerful idiom through which to evoke strong emotions, this study uses music to induce mild tension in patient volunteers with biventricular pacemakers or ICDs to better understand the connections between emotion response and heart rhythms.


Elaine Chew is Professor of Digital Media at Queen Mary University of London, where she is affiliated with the Centre for Digital Music. She is recent recipient of a European Research Council Advanced Grant for the project COSMOS: Computational Shaping and Modeling of Musical Structures, which will start in January 2019. COSMOS aims to study musical structures as they are created in performance and in recordings of cardiac arrhythmias.

About COSMOS — https://erc-adg-cosmos.blogspot.com

About Elaine’s research — https://elainechew-research.blogspot.com

About Elaine’s piano activities — https://elainechew-piano.blogspot.com

About the Music, Performance and Expressivity lab — https://mupae.blogspot.com

On April 20, 1993, sixteen-year-old Cassie watches her world burn to the ground. A week later—far from Waco, TX and the Branch Davidean fire that claimed her family, friends, savior, and the only life she had ever known—Cassie enters a new life—a strange new ‘normal’ life after being ripped from a cult and forced to function in routine society with little knowledge of how to navigate reality.

Cassie has just two goals: to play the piano and to learn how to be normal. Her love of music, especially the music of J.S Bach, is her only thread to a past she buries under her “normal” façade, the thread that holds her together where therapy and religion fail. But Cassie’s habit of using music to hide from her emotions fails her and she must grieve the truth about losing her family and her world in the Waco fire and begin to let time, and Bach, heal her. And only through Bach’s music can she dare to feel the loss of her parents.

When US authorities raided cult-leader David Khoresh’s compound in February 1993, it led to 10 deaths and a 51-day standoff that ended when a fire killed more than 70 men, women, and children. Those who survived Waco were forced to confront the dark things Khoresh did: narcissistic and abusive, he was deeply controlling yet charismatic and personable.

This well-crafted and sensitively-written novel by American pianist Rhonda Rizzo does not shy away from presenting Khoresh and his cult in unsentimental terms, but rather than offer long descriptions, small disturbing details are slipped into the narrative in the form of flashbacks by Cassie, the protagonist, as she tries to come to terms what has happened to her and her family, and comprehend her parents’ life choices. The complex story of Cassie’s struggle to process the trauma of Waco and resulting PTSD, and the extraordinarily closed world of a religious cult, is told in unsentimental, vividly realistic terms, and Rhonda Rizzo’s own musical background brings an authenticity and authority to the descriptions of the music, including the experience of studying and performing music, the hot house, competitive atmosphere of music college, and the special pleasures (and difficulties) of playing with other musicians.

This is as much a coming-of-age novel as a book about recovery and renewal, and Cassie’s naive, tentative entry into a normal teenage girl’s life of fashion, boys and alcohol is presented in bold, believable terms: her relationships are not always straightforward and her attempts to fit in, despite her unusual background, are familiar to anyone who has felt like an outsider.

In one of those serendipitous encounters which sometimes happen via my blog, the author contacted me out of the blue to ask if I would review her book. I’m so glad I agreed, as I found The Waco Variations a real page-turner, and, ultimately, a wonderful celebration of the restorative powers of music. The novel offers a universal message – that music has the power to touch our souls, to heal and calm, and so much more…..

Recommended

The Waco Variations

Meet the Artist interview with Rhonda Rizzo

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Rhonda Rizzo

 

 

 

 

 

This musical and theatrical collaboration between multi-award-winning actress Dame Patricia Routledge and international concert pianist Piers Lane tells the extraordinary, inspiring story of Myra Hess and her famous wartime National Gallery concerts.

Compiled from her press and radio interviews during World War II by Myra’s great-nephew, composer Nigel Hess, ‘Admission: One Shilling’ is Myra in her own words: redoubtable, courageous and inspiring. This acclaimed show has toured for almost a decade yet these 17 November performances at Bishopsgate Institute will mark the first occasion that the pieces are played on Dame Myra Hess’s very own Steinway & Sons piano.

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Through spoken word performance taken from letters, books and interviews given by Myra, interspersed with short piano pieces by Schubert, Schumann, Brahms, Beethoven and JS Bach, hear, how the ‘great adventure’ of these lunchtime concerts began, and how they continued while bombs rained down on London.

It will be a powerful and poignant experience, for both Piers and myself, to be telling the story, through words and music, of Dame Myra Hess’s unique and inspired contribution to the nation, during the anxious years of the Second World War. That our performance is to take place at the Bishopsgate Institute in the company of one of the instruments Dame Myra Hess actually played will, I am sure, make for a significant experience for all of us.

– Dame Patricia Routledge

I am delighted that ‘Admission: One Shilling’, a piece about my great-aunt Dame Myra Hess is being performed at Bishopsgate Institute. These performances will be particularly special as Piers Lane will be playing on the piano given to Myra by Steinway which has been at the Institute for several years and has recently been extensively refurbished in Steinway’s Hamburg workshop. To hear Myra’s own piano telling her own story in this way will be an unique experience, both for her family and, I am sure, for the audience as well

– Nigel Hess

 

Admission: One Shilling
Sat 17 November | 14.00 & 19.00
Price: £21, no concessions
Address: Bishopsgate Institute, 230 Bishopsgate, London. EC2M 4QH

Further information / book tickets


Photo: ©Gussie Welch

Who or what inspired you to take up piano and pursue a career in music? 

When I was really young my brother, who is older than me, played violin. I thought that looked like a lot of fun so I also started playing too. That is what got me interested in music to start with. In our home we had a very old upright piano, I think it cost £100. It was really terrible, almost untune-able. My brother and I would play around on it, making a terrible noise until my mum got so fed up with it that she found a local piano teacher to help tame us! I found that I enjoyed playing piano and would spend hours practising and trying out new things. My parents are not at all musical so they didn’t really know what to do with me when I began to become more and more interested in playing.

Who or what have been the most important influences on your musical life and career?

 I think that my first piano teacher, Claire Swainsbury, had a huge effect on me. She showed me how much fun I could have playing piano and introduced me to some beautiful pieces of music. Then later on Vladimir Ashkenazy has been a big influence along with the conductor Alexander Sladkovsky.

What have been the greatest challenges of your career so far? 

I think that in the UK Classical Music is sometimes difficult for people to understand, whereas in many other countries, Russia especially, it is more a part of everyday life. The education system in the UK doesn’t really help either. So I guess that is a pretty big challenge… for everyone involved in classical music in the UK.

Which performance/recordings are you most proud of? 

That would have to be Rachmaninov Piano Concerto No.2 with Alexander Sladkovsky in Kazan.

Which particular works do you think you play best? 

I enjoy performing a wide range of work but I do have my favourites, like Beethoven, Tchaikovsky and Liszt. I think that if you enjoy performing a piece of music you will usually play it well. I’ve always been fond of performing the great Russian romantic composers, although I’m never sure if I play these pieces the best. But I do know that I really enjoy this kind of repertoire.

How do you make your repertoire choices from season to season? 

I always have a list of pieces that I want to perform, I choose the ones that fit with the way I am feeling at the time when I am ready to begin a new piece.

Do you have a favourite concert venue to perform in and why? 

I love performing in Russia and of course the Great Hall of the Moscow Conservatory has to be my favourite. Mainly because of the acoustics but also because of the long history behind this amazing concert hall and the many legendary artists who have performed there.

Who are your favourite musicians? 

I think my all time favourite would have to be Horowitz, who, when he first started performing, was paid in butter and chocolate… sounds good to me!

What is your most memorable concert experience?

Performing with Valery Gergiev and having a ten minute rehearsal for an entire concerto which ended five minutes before going on stage. That was interesting.

As a musician, what is your definition of success? 

For me success in music isn’t something that you can ever really achieve or reach. Certainly I try to improve my understanding of a piece of music, but I am not sure if I will ever succeed in doing so completely.

What do you consider to be the most important ideas and concepts to impart to aspiring musicians? 

Always remember that music is an art form, not a science. It comes from the heart. So be yourself when you perform no matter what the people around you are telling you.


Born in Hackney in the UK, British pianist George Harliono was invited to make his first one hour long, solo recital at the age of nine. Since then he has performed in numerous locations both in the UK, USA, Europe and Asia, appearing at venues such as Wigmore Hall, The Royal Festival Hall, The Royal Albert Hall and Chicago Symphony Centre.

In 2013 he was invited to record Beethoven’s Piano Sonata Op.2 No.1 at the Southbank Centre in London. In 2016 his performance of Tchaikovsky Piano Concerto No.1 at the Great Hall of The Moscow Conservatory was broadcast live on Russian national TV and streamed live on Medici TV.

Since his concerto debut at the age of 12 he has been a regular performer with orchestras including the Moscow State Symphony Orchestra, The Mariinsky Orchestra, Tatarstan National Symphony Orchestra, New Millennium Orchestra of Chicago and Tyumen Philharmonic Orchestra. George also regularly performs alongside eminent artists such as Lang Lang and Denis Matsuev and has worked with many renowned conductors including Valery Gergiev, Alexander Sladkovsky, Evgeny Shestakov and Francesco Milioto

George has been awarded prizes in numerous competitions throughout the world including The Grand Piano Competition in Moscow, Royal Overseas League Music Competition in London, Gina Bachauer Piano Competition in Utah and Dinu Lipatti Piano Competition in Bucharest

Most recently he performed with The Mariinsky Orchestra in Vladivostok, Russia under the baton of Valery Gergiev and was also invited to perform a recital as part of the Scherzo Young Series in Madrid. Scherzo is the most important piano series in Madrid and has previously featured artists such as Yuja Wang and Mitsuko Uchida.

He studies with Professor Vanessa Latarche (Chair of International Keyboard Studies and Head of Keyboard, Royal College of Music in London) and travels to Switzerland to work with his mentor, renowned pianist professor Vovka Ashkenazy and also his father Vladimir Ashkenazy. He has taken masterclasses with Dmitri Bashkirov, Lang Lang and Vladimir Ovchinikov among others. George also works closely with Alexander Sladkovsky who has taken a personal interest in his development as an artist.

George began studying at The Royal College of Music for a BMUS Degree on a full four year scholarship in September of last year. He is one of the youngest students ever to be accepted onto this course.

Upcoming engagements for this year include performances with the Tchaikovsky Symphony Orchestra conducted by Vladimir Fedoseyev and Orquesta Sinfónica Provincial de Santa Fe conducted by Walter Hilgers. George will also be giving a concerto performance at the Berliner Philharmonie as well as a recital at the Minato Mirai Hall in Yokohama, Japan.

georgeharliono.net

(Photo: Alexander Von Busch and Kir Simakov)