Knowledge based system with embedded intelligent heart sound analyser for diagnosing cardiovascular disorders

F Javed1, P A Venkatachalam, A F M Hani

  • 1Signal & Image Processing and Tele-medicine Technology Research Group, Electrical & Electronics Engineering Programme, Universiti Teknologi PETRONAS, Tronoh, Perak, Malaysia.

Insights

A new knowledge-based system (KBHSA) uses artificial intelligence to analyze heart sounds for early cardiovascular disease (CVD) detection. This system aids general physicians in diagnosing heart conditions, especially when specialists are unavailable.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Artificial Intelligence

Background:

  • Cardiovascular disease (CVD) is a leading global cause of mortality.
  • Limited early detection methods contribute to the rising incidence of CVD.
  • There is a need for accessible diagnostic tools, particularly in resource-limited settings.

Purpose of the Study:

  • To develop and validate a knowledge-based system with an intelligent heart sound analyzer (KBHSA) for early cardiovascular disorder diagnosis.
  • To provide a decision support tool for general physicians in diagnosing CVD.
  • To improve diagnostic accuracy and reliability in emergency situations.

Main Methods:

  • Digitized heart sounds were recorded using an electronic stethoscope.
  • Advanced digital signal processing and artificial intelligence techniques were employed for analysis.
  • The KBHSA integrated patient history, clinical findings, and diagnostic imaging data.
  • System diagnoses were validated against expert cardiologist assessments.

Main Results:

  • The KBHSA successfully analyzed abnormal heart sound samples and patient medical data.
  • The system's diagnoses showed strong agreement with those of senior cardiologists.
  • Validation involved data from 40 patients with abnormal heart sounds.

Conclusions:

  • The KBHSA demonstrates potential as an effective tool for early cardiovascular disease diagnosis.
  • The system can support general physicians in making timely and accurate diagnoses.
  • KBHSA offers a viable solution for improving cardiac care accessibility.

Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Equipments Used To Measure Blood Pressure01:30

Equipments Used To Measure Blood Pressure

Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Heart Sounds01:15

Heart Sounds

Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...