| Part 6: Multifractality of healthy human heart rate Multifractality has been uncovered in a number of fundamental physical and chemical processes (9). Recently, it was also reported that heart rate fluctuations of healthy individuals are multifractal (11). This finding posed new challenges to our understanding of heart rate regulation as most modeling of heart rate fluctuations over long time scales had concerned itself only with monofractal properties (12). For example, it appears that a major life-threatening condition, congestive heart failure, leads to a loss of multifractality (Fig. 8). | ||||
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| More importantly, neither monofractal nor multifractal
      behaviors are accounted 
        for by current understanding of physiological regulation based on homeostasis. 
        Hence it would be beneficial, perhaps, to uncover how
multifractality in the
        healthy heart dynamics arises. Two distinct possibilities can be considered. 
        The first is that the observed multifractality is primarily a consequence 
        of the response of neuroautonomic control mechanisms to activity-related 
        fractal stimuli. If this were the case, then in the absence of such correlated 
        inputs the heartbeat dynamics would not generate such a heterogeneous 
        multifractal output. The second is that the neuroautonomic control mechanisms---in the presence of even weak external noise---endogenously generate 
        multifractal dynamics. 
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