Evidence map›Paper›PMID 41808739›Full record

ArticleEuropean heart journal. Imaging methods and practice2026

Autonomic entrainment to music structure in Verdi opera.

Natalia Cotic, Vanessa Pope, Pier D Lambiase, Elaine Chew

Abstract read
In one paragraph

Article in European heart journal. Imaging methods and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Autonomic entrainment to expressive musical phrase structures.European heart journal. Imaging methods and practice · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Natalia CoticSchool of Biomedical Engineering & Imaging Sciences, King's College London, Strand, London WC2R 2LS, UK.ORCID https://orcid.org/0009-0000-9724-0737
Vanessa PopeSchool of Biomedical Engineering & Imaging Sciences, King's College London, Strand, London WC2R 2LS, UK.ORCID https://orcid.org/0000-0002-9172-8296
Pier D LambiaseUniversity College London and Barts Heart Centre, West Smithfield, London EC1A 7BE, UK.ORCID https://orcid.org/0000-0002-9055-9267
Elaine ChewSchool of Biomedical Engineering & Imaging Sciences, King's College London, Strand, London WC2R 2LS, UK.ORCID https://orcid.org/0000-0002-8342-1024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Music can influence bodily rhythms, offering a powerful way of modulating autonomic physiology. Entrainment between music structure and physiologic responses provides a potential mechanism for this effect. This study examined (1) whether autonomic entrainment is driven primarily by objective music structure or by listeners' subjective perception of music boundaries and (2) how structural and dynamic features of opera shape entrainment. Methods and results: Twenty-four participants (12 choristers, 12 non-choristers) listened to two Verdi excerpts while respiration, RR intervals, and continuous blood pressure were recorded. Entrainment between music features (loudness and tempo) and physiology was assessed using time-frequency coherence, revealing significant intra- and inter-individual coupling, strongest during Nabucco. Surrogate testing confirmed that these effects were linked to music structure rather than incidental physiologic fluctuations. Music boundaries were modelled as Gaussian envelopes derived from participant-defined (subjective) annotations and trained-annotator (objective) annotations. Objective boundary envelopes aligned more closely with physiologic envelopes than subjective annotations across signals. Subjective boundary performance improved when restricted to higher-strength annotations and when closely matching music structural changes. Choristers' boundary annotations were more consistent within the group, but overall physiology-music entrainment strength was similar between choristers and non-choristers. Conclusion: Music structure plays a key role in shaping autonomic entrainment. Autonomic entrainment during music listening is most consistently explained by music structure changes, particularly well-defined and salient boundaries (objective annotations), rather than by an individual's perception of structure changes (subjective annotations). These findings support a scalable framework for music-based interventions grounded in extractable structural features rather than personalized perception.

Indexed as

autonomic nervous systemcardiorespiratory entrainmentmusical phrase arc boundariestime-frequency analysis

Identifiers

PMID41808739
PMCPMC12968618

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.