Noise detection in heart sound recordings

Mohammad K Zia1, Benjamin Griffel, Vladimir Fridman

  • 1University of Medicine and Dentistry of New Jersey – Graduate School of Biomedical Sciences and Rutgers, the State University of New Jersey, Piscataway, NJ, USA. mkhawarzia@gmail.com

Insights

This study introduces a new noninvasive acoustic method to detect coronary artery disease (CAD) early. The technique effectively filters out clinical noise, improving the detection of faint sounds from narrowed arteries.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Acoustic Signal Processing

Background:

  • Coronary artery disease (CAD) is a leading cause of mortality, often detected late.
  • Current diagnostic methods for CAD are invasive, costly, and unsuitable for early screening.
  • Early detection of CAD is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To develop a noninvasive and cost-effective acoustic system for early CAD detection.
  • To address the challenge of clinical noise interfering with faint acoustic signals from narrowed coronary arteries.
  • To propose and validate a novel noise detection and elimination method for acoustic CAD diagnosis.

Main Methods:

  • Utilizing an acoustic approach to identify sounds generated by turbulent blood flow in narrowed coronary arteries.
  • Implementing a reference channel-based method for detecting and eliminating ambient clinical noise.
  • Evaluating the effectiveness of the proposed noise reduction technique in preserving faint CAD-related acoustic signals.

Main Results:

  • The developed acoustic method shows promise for noninvasive CAD detection.
  • The proposed noise detection and elimination technique effectively mitigates interference from clinical noise.
  • Successful identification of noise is demonstrated as critical for the acoustic approach's viability.

Conclusions:

  • A noninvasive acoustic system using noise reduction shows potential for early coronary artery disease screening.
  • The developed noise cancellation method is essential for the success of the acoustic CAD detection approach.
  • This technology could offer a cost-effective and accessible alternative to current invasive diagnostic tools.

Related Concept Videos

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...
Cardiovascular System Abnormal Findings II: Auscultation01:25

Cardiovascular System Abnormal Findings II: Auscultation

Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Assessment of the Cardiovascular System IV: Auscultation01:25

Assessment of the Cardiovascular System IV: Auscultation

Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
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...
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...
Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...