Abstract

Currently, there are many works in the literature focused on the analysis of heart sounds, specifically on the development of intelligent systems for the classification of normal and abnormal heart sounds. However, the available heart sound databases are not yet large enough to train generalized machine learning models. Therefore, there is interest in the development of algorithms capable of generating heart sounds that could augment current databases. In this article, we propose a model based on generative adversary networks (GANs) to generate normal synthetic heart sounds. Additionally, a denoising algorithm is implemented using the empirical wavelet transform (EWT), allowing a decrease in the number of epochs and the computational cost that the GAN model requires. A distortion metric (mel–cepstral distortion) was used to objectively assess the quality of synthetic heart sounds. The proposed method was favorably compared with a mathematical model that is based on the morphology of the phonocardiography (PCG) signal published as the state of the art. Additionally, different heart sound classification models proposed as state-of-the-art were also used to test the performance of such models when the GAN-generated synthetic signals were used as test dataset. In this experiment, good accuracy results were obtained with most of the implemented models, suggesting that the GAN-generated sounds correctly capture the characteristics of natural heart sounds.

Highlights

  • Cardiovascular diseases are one of the leading causes of death in the world

  • Different heart sound classification models proposed as state-of-the-art were used to test the performance of such models when the generative adversarial networks (GANs)-generated synthetic signals were used as test dataset

  • According to the limitations presented in the currently proposed models for the generation of synthetic heart sounds, and taking into account the significant advances in voice synthesis using deep learning methods, in this work we propose a model based on generative adversarial networks (GANs) to generate only normal heart sounds that can be used to train machine learning models

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Summary

Introduction

According to recent reports from the World Health Organization and the American Heart Association, more than 17 million people die each year from these diseases Most of these deaths (about 80%) occur in lowand middle-income countries [1,2]. There are sophisticated equipment and tests for diagnosing heart disease, such as: electrocardiogram, holter monitoring, echocardiogram, stress test, cardiac catheterization, computed tomography scan, and magnetic resonance imaging [3]. Most of this equipment is very expensive, and must be used by specialized technicians and medical doctors, which limits its availability in rural and urban areas that do not have the necessary financial resources [4]. To be effective, this method requires a sufficiently trained ear to identify cardiac

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