Abstract

Heart sound signals reflect valuable information about heart condition. Previous studies have suggested that the information contained in single-channel heart sound signals can be used to detect coronary artery disease (CAD). But accuracy based on single-channel heart sound signal is not satisfactory. This paper proposed a method based on multi-domain feature fusion of multi-channel heart sound signals, in which entropy features and cross entropy features are also included. A total of 36 subjects enrolled in the data collection, including 21 CAD patients and 15 non-CAD subjects. For each subject, five-channel heart sound signals were recorded synchronously for 5 min. After data segmentation and quality evaluation, 553 samples were left in the CAD group and 438 samples in the non-CAD group. The time-domain, frequency-domain, entropy, and cross entropy features were extracted. After feature selection, the optimal feature set was fed into the support vector machine for classification. The results showed that from single-channel to multi-channel, the classification accuracy has increased from 78.75% to 86.70%. After adding entropy features and cross entropy features, the classification accuracy continued to increase to 90.92%. The study indicated that the method based on multi-domain feature fusion of multi-channel heart sound signals could provide more information for CAD detection, and entropy features and cross entropy features played an important role in it.

Highlights

  • Coronary artery disease (CAD) has been the leading cause of death in cardiovascular disease globally [1] and is still increasing at an alarming rate

  • In the comparison of the features of different domains, cross entropy features accounted for the largest proportion of the features with statistical differences, the number of them was the least

  • After adding entropy features and cross entropy features, the classification accuracy improved to 90.90%

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Summary

Introduction

Coronary artery disease (CAD) has been the leading cause of death in cardiovascular disease globally [1] and is still increasing at an alarming rate. There is an urgency to develop convenient and accurate options for CAD detection of large-scale populations. Coronary angiography (CAG) [2] is widely regarded as the gold standard for detecting. It is not suitable as a routine examination method for early screening due to its invasive and high price defects. The turbulence can cause murmurs in heart sound signals [3]. As a non-invasive detection method, heart sound analysis has the potential to become a cost-effective screening tool to achieve the early detection of CAD [4]

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