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🔬 Phase 1 · Public Data · Reproducible

The physics
shows up in the data.

A single scalar feature — the fractal-scaling exponent of beat-to-beat intervals — separates severe heart failure from normal sinus rhythm at AUC 0.942 on public PhysioNet data. The multivariate HRV model hits 0.947 ± 0.052, five-fold cross-validated.

The Wike Coherence Law predicts this collapse before it's measured: as γeff rises toward the critical threshold γc, cross-scale phase locking fails — and fractal structure with it. This page shows the prediction matching the data.

01
Headline

The numbers.

0.947
HRV-only multivariate AUC
5-fold cross-validated
0.942
DFA α single-feature AUC
Cohen's d = −2.579
82
5-min HRV segments
16 normal · 15 CHF
< 10-4
p-value on top 3 features
Mann–Whitney U test
02
The figure

DFA α — the coherence signature.

A healthy heart sits near α ≈ 1.0 — pink noise, long-range correlations, coherent organization across time scales. In severe CHF, α collapses toward 0.65. The distribution separation is what the framework predicts: decoherence is fractal-exponent collapse.

DFA alpha distribution — NORMAL vs CHF
Figure 1. DFA α distribution overlay. Dashed lines mark group means: Normal α = 1.104, CHF α = 0.649. Single-feature AUC 0.942, p < 0.0001.
03
Per-feature results

Every feature, one row.

Six HRV features computed per 5-minute segment. Cohen's d measures standardized effect size; AUC is the rank-based probability a CHF segment's value exceeds a normal segment's for that feature.

Feature Cohen's d AUC p-value Normal mean CHF mean
DFA α −2.579 0.942 < 0.0001 1.104 0.649
RMSSD (ms) +1.525 0.896 < 0.0001 34.54 191.75
SampEn −0.980 0.756 0.0001 0.877 0.479
SDNN (ms) +0.930 0.708 0.0014 70.63 140.98
pNN50 (%) +0.796 0.699 0.0022 6.49 19.13
mean HR (bpm) +0.223 0.575 0.2489 88.82 92.25
Per-feature AUC bar chart
Figure 2. Per-feature AUC. Gold bars exceed 0.85; the dashed reference line marks the multivariate ceiling.
04
Two-feature view

Where coherence lives. Where it breaks.

Plotting DFA α against RMSSD lays the two cohorts on different manifolds. Normal sits in a narrow fractal band with moderate vagal tone. CHF fans out toward both α-collapse and RMSSD inflation — classic autonomic dysregulation on top of fractal failure.

RMSSD vs DFA alpha scatter
Figure 3. RMSSD vs DFA α, per-segment scatter. Teal circles: Normal. Red triangles: CHF.
05
The prediction

This is what the math said would happen.

C = C0 · exp(−α · γeff)    α = 16.08
Wike Coherence Law

As γeff rises toward the critical threshold γc, coherence decays exponentially. The prediction is that decoherence is not just a loss of amplitude — it is a loss of structure across scales. A coherent biological system shows pink-noise (1/f) fluctuations; a decoherent one loses that scaling and drifts toward uncorrelated noise. DFA α measures exactly that fractal exponent.

CHF is a sustained γeff excursion at the cardiac level. The prediction: α should collapse from ~1.0 toward ~0.5–0.7 as the coherent attractor is lost. The data: Normal α mean = 1.104; CHF α mean = 0.649. That's the prediction, measured.

06
Methods

How the numbers were made.

Data
PhysioNet — Normal Sinus Rhythm Database (nsrdb, 16 records at 128 Hz) vs BIDMC Congestive Heart Failure Database (chfdb, 15 records at 250 Hz, NYHA III–IV). Public. No credentials required. No patient-identifiable information.
Segmentation
First 20 minutes of each recording. Split into three 5-minute non-overlapping windows. 48 normal segments + 34 CHF segments = 82 total.
R-peak detection
WFDB XQRS algorithm with scipy find_peaks fallback. RR intervals filtered to physiological 300–2000 ms (30–200 bpm).
Features
SDNN, RMSSD, pNN50 (time domain) · LF/HF via Welch PSD on 4 Hz cubic-spline-resampled RR (frequency domain) · Sample Entropy m=2, r=0.2·σ · DFA α on box sizes 4–N/4 (nonlinear).
Discrimination
Cohen's d for effect size. Mann–Whitney U for non-parametric AUC and p-values. Multivariate: standardized logistic regression with 5-fold stratified cross-validation.
Reproducibility
Full pipeline is one Python file. Per-record feature cache makes reruns instant. Raw feature CSV + discrimination CSV + summary JSON all downloadable below.
07
08
Phase 2

What we're already building.

Phase 1 answers "does HRV discriminate?" Phase 2 answers the real clinical question: does adding C-reactive protein push the discrimination ceiling above 0.947 in a cancer cohort? That requires paired HRV + inflammation + outcome data, which lives in MIMIC-IV.

01
Pipeline built HRV feature extraction · fusion framework · MIMIC SQL written and tested · per-record caching
Complete
02
Public-data baseline locked NSRDB vs CHFDB — HRV-only AUC 0.947 ± 0.052 — the ceiling the fusion model has to beat
Complete
03
PhysioNet credentialing Account · CITI "Data or Specimens Only Research" training · MIMIC-IV Data Use Agreement signing
In motion
04
MIMIC-IV pull CRP itemid 50889, ±24h window · ICD-10 cancer (C00–D49), CHF (I50), infection (A40–A41) · QUALIFY-deduped cohort join
Awaiting DUA
05
Fusion analysis HRV-only vs CRP-only vs HRV+CRP · AUC lift as primary endpoint · per-subgroup by diagnosis
Awaiting data
06
Publication Preprint on medRxiv · full-repro repo · real CRP results on this page
Planned
09

If you work on this, reach out.

Cardiologists, oncologists, HRV researchers, MIMIC-IV credentialed PIs, journalists, funders. The raw data is above. The pipeline is one file. The hypothesis is falsifiable. The theory predicted the number before the number existed.

Reach out → See the cancer framework

Research and decision-support only · Not medical advice
Does not replace licensed clinical diagnosis or treatment

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