Integrated fusion approach for multi-class heart disease classification through ECG and PCG signals with deep hybrid

Shivalila Hangaragi1, N Neelima2, Katarina Jegdic3

  • 1Department of Electronics and Communication, Amrita School of Engineering-Bangalore, Amrita Vishwa Vidyapeetham, Bangalore, India.

Scientific Reports
|March 8, 2025
PubMed

Insights

This study introduces a novel method for detecting cardiovascular diseases by fusing electrocardiogram (ECG) and phonocardiogram (PCG) signals. The advanced model accurately classifies six heart conditions with 97% accuracy, improving early diagnosis.

Area of Science:

  • Cardiology and Biomedical Signal Processing.

Background:

  • Cardiovascular disease detection often uses single-modality signals (ECG or PCG), leading to high false positive rates.
  • Reliance on ECG alone misses cardiac murmurs, while PCG alone overlooks electrical activity changes, resulting in incomplete evaluations.

Purpose of the Study:

  • To develop and implement a multi-class heart disease classification model using a fusion of both ECG and PCG signals.
  • To enhance the accuracy and comprehensiveness of cardiovascular disease detection and classification.

Main Methods:

  • Signal preprocessing and fusion, followed by waveform detection (Pan-Tompkins Algorithm) and signal localization (Algebraic Integer-quantized Stationary Wavelet Transform).
  • Clustering using Low-rank Kernelized Density-Based Spatial Clustering of Applications with noise, feature selection via Heming Wayed Polar Bear Optimization, and classification with a C squared Pool Sign BI-power-activated Deep Convolutional Neural Network.

Main Results:

  • Achieved a high classification accuracy of 97% with a low error rate of 0.03.
  • Successfully identified and classified six distinct heart conditions: Aortic stenosis Valvular disorder, Tricuspid Valvular disorder, Mitralstenosis Valvular disorder, Pulmonary Valvular disorder, Atrial Fibrillation, and Ischemic heart disorder.

Conclusions:

  • The proposed multi-modal approach significantly improves cardiovascular disease classification accuracy.
  • This integrated ECG and PCG model offers a more robust and reliable method for early diagnosis and prediction of heart conditions.