When a harpist wearing blue hospital scrubsstarted playing the familiarstrainsof Pachelbel’s Canon during Edith Zook’s heart procedure, the scene couldn’t have been more surreal.
Surrounded by cutting-edge medical equipment, the 83-year-old patient lay unconscious and sedated, with skinny electrode-equipped catheters snaking from veins in her right thigh and shoulder into her heart. They provided a conduit for a video monitor showing the squiggly waves of Mrs. Zook’s irregular heartbeat.
Like some weird sci-fi melding of heaven and high-tech earth, the musician strummed serenely on her 4-foot Irish harp just a few feet away, while the patient snored and her doctor silently examined the ups and downs of rainbow-colored heart waves on the screen.
The music sounded lovely — but it was meant to help heal, not entertain.
Mrs. Zook suffers from atrial fibrillation, a fast, irregular heartbeat caused by mixed-up electrical signals generated by the heart’s upper chambers. Mrs. Zook’s symptoms include unnerving palpitations and troubling fatigue that make her collapse without warning.
Her physician, Dr. Abraham Kocheril, chief of cardiac electrophysiology at the Carle Heart Center in Urbana, says he has found signs that harp music might help sick hearts like Mrs. Zook’s beat more normally.
The theory is based partly on work by Dr. Ary Goldberger of Harvard Medical School showing that varied rhythms created by healthy hearts are similar to note patterns in classical music.
Dr. Kocheril’s work also fits with a growing music therapy movement, whose supporters think music can alleviate some of the mental and physical symptoms of disease.
“People know that music relaxes you. We’re just trying to get more medical validation,” said Dr. Kocheril’s harpist and co-researcher, Dr. Jennifer MacKinnon, 35, a Chicago internist. She took up harp-playing at age 10 and as a child played for patients of her father, also a physician.
Some enthusiasts think the harp has special healing qualities and Dr. Kocheril said resonant vibrations from live harp music may be particularly effective at regulating quivering heart rhythms. Other musical instruments and recorded music might offer similar benefits, he said, making a “music prescription” easier to follow.
“Potentially, there could be a prescription for music five days a week … to keep the heart healthy in general and specifically to keep rhythm disorders under control,” Dr. Kocheril said.
Although he doesn’t foresee the elegant but unwieldy harp becoming a routine fixture during heart operations, others have used harpists in intensive-care units to help normalize sick newborns’ heart rates, after surgery to reduce patients’ anxiety and during childbirth to soothe mothers in labor.
Psychologist and harpist Sarajane Williams uses the instrument to help patients deal with chronic pain from arthritis, fibromyalgia and other conditions.
Patients at her Macungie, Pa., office sit in a reclining chair embedded with speakers that allow amplified vibrations from her harp-playing to reach deep into aching tissue like “a musical massage,” Miss Williams said.
She says the vibrations help relieve pain by stimulating circulation and relaxing patients.
Harp therapy also is used to soothe dying patients in hospices.
Maureen Reilly, a nurse-anesthetist in San Antonio, says the harp’s effect on the body can be partly explained by a physics principle called entrainment. This concept describes the influence of one oscillating system over another.
Entrainment has become a buzzword in some New Age health circles, but the theory dates back to a 17th-century Dutch physicist who found that pendulum clocks started ticking simultaneously when placed next to each other.
Jean-Jacques Slotine, a Massachusetts Institute of Technology scientist who has studied entrainment in mathematics and neuroscience, says it helps explain other effects on the human body, including how Parkinson’s disease patients can walk more easily if they swing their arms. It also is plausible — though not proven — that entrainment might explain how music affects the heart, Mr. Slotine said.
Dr. Mark Tramo, a Massachusetts General Hospital neurologist and director of Harvard’s Institute of Music & Brain Science, said there is nothing kooky about the idea of entrainment and using music in healing.
Dr. Tramo said parts of the brain known as the mesolimbic system, involved in controlling emotions and reward-seeking behavior, “can have a profound influence on the heart.” Music’s influence on that brain system and the auditory nervous system might help explain how it can affect the heart, he said.
Dr. Robert Eckel, president of the American Heart Association, is more skeptical about the use of music in healing, although he said there is no doubt that music can produce a calming effect that can decrease the release of stress hormones.
Mrs. Zook, a retired high school cafeteria cook from tiny Fisher, Ill., was dumbfounded when Dr. Kocheril told her he wanted a harpist to play during her procedure.
“I said, ‘You’ve got to be kidding,’” Mrs. Zook recalled from her hospital bed. “I thought it was kind of crazy.”
Her two daughters were incredulous, and a doubting son-in-law sarcastically asked, “Is Gabriel going to be in there with the trumpet?”
Mrs. Zook prefers Christian and country music to classical but now says she just might become a fan of classical harp. “If it cures this, I will,” she said.
Dr. Kocheril said if his study shows that harp music works well, it ultimately might be used live or recorded outside a hospital setting to help patients avoid the need for high doses of medicine.
During her procedure, Mrs. Zook’s heart rate slowed and the beats were more regular during the music and for several minutes afterward. Similar benefits occurred with the other study participants, Dr. Kocheril said.
Mrs. Zook awakened from the procedure and told the doctor, “I didn’t hear the music,” her daughter, Pat Zook, recalled, “and he said, ‘Your heart did.’”