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Updated: Jun 29, 2025

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Published on: September 22, 2023
Cardiovascular disease detection using a novel stack-based ensemble classifier with aggregation layer, DOWA operator,
Mehdi Hosseini Chagahi1, Saeed Mohammadi Dashtaki1, Behzad Moshiri2
1School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran.
Insights
This study introduces a novel machine learning model for early cardiovascular disease (CVD) detection. The enhanced classifier achieved 94.05% accuracy, significantly improving early diagnosis and patient outcomes.
Area of Science:
- Cardiovascular Diseases
- Machine Learning
- Medical Diagnostics
Background:
- Cardiovascular diseases (CVD) represent a significant global health challenge, impacting quality of life and leading to premature mortality.
- Early detection and intervention are crucial for mitigating CVD severity, progression, and mortality.
- Machine learning (ML) offers a promising avenue for advancing early CVD detection capabilities.
Purpose of the Study:
- To develop and evaluate a novel stack-based ensemble classifier for improved cardiovascular disease detection.
- To enhance classification accuracy and reliability in identifying cardiovascular disease instances.
Main Methods:
- Feature transformation using Johnson transformation and normalization of feature distributions.
- A stack-based ensemble classifier incorporating an aggregation layer and the dependent ordered weighted averaging (DOWA) operator.
- Utilizing three diverse first-level classifiers and a linear support vector machine (SVM) meta-classifier for final classification.
Main Results:
- The proposed ensemble classifier achieved an overall accuracy of 94.05%, a 5% improvement over baseline methods.
- The system demonstrated a significant increase in the area under the receiver operating characteristic (ROC) curve (AUC), reaching 97.14%.
- The enhanced classifier showed robust performance in distinguishing between positive and negative cardiovascular disease instances.
Conclusions:
- The addition of an aggregation layer to the stacking classifier significantly boosts classification accuracy for cardiovascular disease detection.
- The proposed method exhibits superior performance and reliability compared to recent studies in CVD classification.
- The developed classifier holds potential for effective and robust early detection of cardiovascular diseases.
Abstract:
Due to their widespread prevalence and impact on quality of life, cardiovascular diseases (CVD) pose a considerable global health burden. Early detection and intervention can reduce the incidence, severity, and progression of CVD and prevent premature death. The application of machine learning (ML) techniques to early CVD detection is therefore a valuable approach. In this paper, A stack-based ensemble classifier with an aggregation layer and the dependent ordered weighted averaging (DOWA) operator is proposed for detecting cardiovascular diseases. We propose transforming features using the Johnson transformation technique and normalizing feature distributions. Three diverse first-level classifiers are selected based on their accuracy, and predictions are combined using the aggregation layer and DOWA. A linear support vector machine (SVM) meta-classifier makes the final classification. Adding the aggregation layer to the stacking classifier improves classification accuracy significantly, according to the study. The accuracy is enhanced by 5%, resulting in an impressive overall accuracy of 94.05%. Moreover, the proposed system significantly increases the area under the receiver operating characteristic (ROC) curve compared to recent studies, reaching 97.14%. It further reinforces the classifier's reliability and effectiveness in classifying cardiovascular disease by distinguishing between positive and negative instances. With improved accuracy and a high area under the curve (AUC), the proposed classifier exhibits robustness and superior performance in the detection of cardiovascular diseases.
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