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Published on: January 14, 2014
Complexity-based analysis for the detection of heart murmurs
J A Gómez-García1, J D Martínez-Vargas, G Castellanos-Dominguez
1Grupo de Control y Procesamiento Digital de Señales, Universidad Nacional de Colombia, Magdalena. Manizales, Colombia. fjorgomezg@unal.edu.co
Insights
This study introduces a new complexity-based method for detecting heart murmurs using regularity features. Gaussian Kernel Approximate Entropy and Fuzzy Entropy showed high accuracy in identifying abnormal heart sounds.
Area of Science:
- Biomedical Engineering
- Cardiology
- Signal Processing
Background:
- Heart murmurs, abnormal heart sounds, can indicate serious cardiac disorders.
- Accurate diagnosis of murmurs is crucial but challenging due to subjective auditory assessment.
- Automatic detection systems can aid medical specialists in improving diagnostic accuracy.
Purpose of the Study:
- To develop and evaluate a complexity-based analysis methodology for detecting heart murmurs.
- To assess the effectiveness of regularity features in identifying abnormal heart sounds.
Main Methods:
- Utilized complexity analysis of physiological signals, specifically focusing on regularity features.
- Employed Approximate Entropy, Sample Entropy, Gaussian Kernel Approximate Entropy, and Fuzzy Entropy for murmur detection.
- Applied the methodology to a dataset for evaluating diagnostic performance.
Main Results:
- The proposed complexity-based method demonstrated significant potential for heart murmur detection.
- Gaussian Kernel Approximate Entropy and Fuzzy Entropy exhibited high discriminative power, achieving up to 90% accuracy.
- These entropy measures proved effective in distinguishing between normal and abnormal heart sounds.
Conclusions:
- Complexity analysis, particularly using Gaussian Kernel Approximate Entropy and Fuzzy Entropy, offers a robust approach for automatic heart murmur detection.
- This methodology can serve as a valuable tool for medical specialists, enhancing the accuracy and efficiency of cardiac diagnosis.
- Further research can explore integrating these methods into clinical diagnostic workflows.
Abstract:
While a healthy human heart produce a rhythmic pattern of sounds, some heart disorder induce deviations perceived as abnormal sounds called murmurs. Despite many murmurs can be considered harmless, other constitute the first basis of a heart disorder. In this sense, a correct diagnosis remains essential; however, due to the subjectivity on using human ear to make diagnosis, automatic detection systems appear as useful tools for helping medical specialists on improving diagnosis accuracy. Complexity analysis has become one important tool for the study of physiological signals, because tracking sudden alteration on the inherent complexity on biological processes might be useful for detecting pathologies. The present paper presents a complexity-based analysis methodology, which uses regularity features for the detection of heart murmurs, including Approximate Entropy, Sample Entropy, Gaussian Kernel Approximate Entropy, and Fuzzy Entropy. The results show the high discriminative power, up to 90%, of the Gaussian Kernel Approximate Entropy and Fuzzy Entropy for the proposed labour.
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