Why the study?
Most prior automated PCG or heart sound detection studies focused solely on algorithmic development rather than practical embedded systems.
A novel, low-cost embedded system using PCG signals and a k-nearest neighbors classifier achieved 94% accuracy in detecting and classifying cardiac disorders, offering potential for remote patient monitoring.
May enable accessible murmur classification; hypothesis-generating and requires prospective validation before clinical use.
Phonocardiogram (PCG) signals hold significant prognostic and diagnostic information about cardiac health. Numerous PCG or heart sound based automated detection algorithms were previously proposed to assist the disease diagnosis process. Most of the previous studies only focused on algorithmic development. This study presents an intelligent, portable, and low‐cost embedded system for the classification of cardiac disorders associated with heart murmurs. Different stages corresponding to the developed embedded system implementation are summarized as follows: The first stage consists of the acquisition of PCG signals of both normal and patients from various hospitals with a customized and low‐cost stethoscope. The second stage describes the preprocessing, localization of S1 and S2 heart sounds, and the extraction of systole and diastole from a heart signal with an empirical mode decomposition integrated with the self‐developed algorithm. In the third stage, discriminant features are extracted to represent various cardiac classes of PCG signals in a compact manner. In the final stage of the algorithm, the k‐nearest neighbors classifier is trained and tested to distinguish between normal and four cardiac disorders. The proposed algorithm achieved 94% mean accuracy through comprehensive experimentation. The cardiac disorders classification algorithm is implemented on a RP‐based embedded system. Software application with an interactive graphical interface is also designed to assist users. The developed intelligent system is portable, low‐cost, and it enables regular patient‐monitoring. The proposed system has the potential to be employed at remote locations where the availability of doctors remains challenging.
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Riaz et al. (2021) studied this question.
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