Abstract

Cardiovascular Diseases (CVDs) are a leading cause of death globally. In CVDs, the heart is unable to deliver enough blood to other body regions. As an effective and accurate diagnosis of CVDs is essential for CVD prevention and treatment, machine learning (ML) techniques can be effectively and reliably used to discern patients suffering from a CVD from those who do not suffer from any heart condition. Namely, machine learning algorithms (MLAs) play a key role in the diagnosis of CVDs through predictive models that allow us to identify the main risks factors influencing CVD development. In this study, we analyze the performance of ten MLAs on two datasets for CVD prediction and two for CVD diagnosis. Algorithm performance is analyzed on top-two and top-four dataset attributes/features with respect to five performance metrics –accuracy, precision, recall, f1-score, and roc-auc—using the train-test split technique and k-fold cross-validation. Our study identifies the top-two and top-four attributes from CVD datasets analyzing the performance of the accuracy metrics to determine that they are the best for predicting and diagnosing CVD. As our main findings, the ten ML classifiers exhibited appropriate diagnosis in classification and predictive performance with accuracy metric with top-two attributes, identifying three main attributes for diagnosis and prediction of a CVD such as arrhythmia and tachycardia; hence, they can be successfully implemented for improving current CVD diagnosis efforts and help patients around the world, especially in regions where medical staff is lacking.

Highlights

  • We analyzed the performance of the ten machine learning (ML) classifiers or machine learning algorithms (MLAs) with the help of the train-test split technique and k-fold cross-validation (k = 10) to identify top-two and top-four main attributes in public datasets [42,43]

  • We relied on the Cleveland and Faisalabad datasets to analyze the performance of the classifiers on datasets for cardiovascular diseases (CVDs) diagnosis

  • We evaluated the performance of ten ML classifiers on the top two and four attributes Performance Evaluation Metrics from the Framingham and the

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. In 2019, the World Health Organization (WHO) predicted that 17.5 million people would die from cardiovascular diseases (CVDs), accounting for 30% of deaths worldwide. CVDs are the leading cause of death globally, as more people die each year from. Of all CVDs, an estimated 7.4 million are attributed to coronary heart disease, while 6.7 million are attributed to stroke, hypertension, coronary artery disease, rheumatic heart disease, and heart failure, among others. CVDs affect low- and middle-income nations the most. It is estimated that by 2030, nearly

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