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The Tri-Electrical Axis: Integrating Heart, Brain, and Gut Electrophysiology in the Age of AI
1  Institute for Artificial Intelligence in Medicine, University Hospital Essen, Essen, Germany
Academic Editor: Cristian Randieri

Abstract:

The heart, brain, and gastrointestinal tract have long been examined as separate electrophysiological domains, each with its own clinical tools and diagnostic language. However, emerging evidence points to a deeper, bioelectrically coordinated relationship among these systems—one that has remained largely unexplored in both research and practice. This work introduces the Tri-Electrical Axis (TEA), a novel physiological framework proposing that the cardiac, cerebral, and enteric systems form a synchronized regulatory network governed by shared electrical patterns. Rather than treating ECG, EEG, and electroenterographic (EEnG) signals as isolated modalities, TEA emphasizes their dynamic interactions and latent harmonies. Initial analyses of co-registered cardiac and cerebral signals reveal reproducible phase coupling and feedback loops suggestive of an integrated bioelectrical substrate. These findings support the hypothesis that multi-organ synchrony may play a role in homeostasis, adaptive responses, and even early disease manifestation. The upcoming inclusion of enteric electrophysiology is expected to complete this triadic structure, offering a richer model of systemic physiology. More than a methodological innovation, TEA represents a conceptual shift: it challenges organ-specific silos and reimagines human physiology as an interdependent, signal-driven system. Such a model holds transformative potential for preventive medicine, enabling earlier detection of dysfunctions that manifest first in cross-organ desynchronization rather than isolated pathology. By uncovering this hidden electrical axis, the TEA framework offers a foundation for future diagnostics, dynamic monitoring tools, and integrative research across cardiology, neurology, and gastroenterology. It is not only a new way to analyze signals—but a new way to understand life.

Keywords: Tri-Electrical Axis, Systems Physiology, Multi-Organ Electrophysiology, Bioelectrical Synchronization, Cardiac–Cerebral–Enteric Axis
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