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Accurate and Low-Cost Cardiac Disorder Detection from Wearable Phonocardiogram Signals Using Hybrid Feature Selection
Ali Narin1, Rukiye Uzun Arslan1, Damla Kırkıl1
1Department of Electrical and Electronics Engineering, Zonguldak Bülent Ecevit University, Zonguldak 67100, Türkiye.
Biosensors
|June 25, 2026
Summary
This study introduces a hybrid approach for early cardiac disorder detection using Phonocardiogram (PCG) signals from wearable biosensors. The method achieves high accuracy with conventional classifiers, offering a computationally efficient alternative to deep learning.
Area of Science:
- Biomedical Engineering
- Cardiology
- Signal Processing
Background:
- Early cardiac disorder identification from Phonocardiogram (PCG) signals is crucial for clinical decisions.
- Wearable biosensors offer potential for continuous cardiac monitoring.
- Current methods may lack accuracy or require computationally intensive deep learning (DL) architectures.
Purpose of the Study:
- To propose a multi-stage hybrid feature selection-classification approach for accurate cardiac disorder identification.
- To enhance diagnostic accuracy without relying on computationally expensive DL models.
- To evaluate the clinical applicability of feature selection strategies with conventional classifiers.
Main Methods:
- Utilized mRMR, ReliefF, and Kruskal-Wallis for feature selection.
- Applied Particle Swarm Optimization (PSO) and Ant Colony Optimization (ACO) for feature space optimization.
- Tested selected features with k-nearest neighbor (k-NN), Support Vector Machines (SVMs), and Bagged Tree (BT) classifiers.
Main Results:
- Achieved high accuracy (up to 99.80%) and F1-score (99.50%) with Kruskal-Wallis+k-NN and ReliefF+k-NN.
- Hybrid models with PSO and ACO also demonstrated strong performance (99.60% accuracy).
- The proposed method showed significant improvements in model robustness and generalizability compared to DL approaches.
Conclusions:
- Well-designed feature selection strategies with conventional classifiers provide high accuracy for cardiac disorder detection.
- The framework offers enhanced clinical applicability and computational efficiency.
- This approach is a viable candidate for smart stethoscope-based early screening solutions.
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