An intelligent Medical Cyber–Physical System to support heart valve disease screening and diagnosis

Cardiovascular diseases are currently the major causes of death globally. Among the strategies to prevent cardiovascular issues, the automated classification of heart sound abnormalities is an efficient way to detect early signs of cardiac conditions leading to heart failure or other, even asymptomatic, complications, quite effective for timely interventions. Despite the significant improvements in this field, there are still limitations due to the lack of solutions, available data-sets and poor (mainly binary - normal vs abnormal) classification models and algorithms. This paper presents a Medical Cyber-Physical System (MCPS) for the automatic classification of heart valve diseases onsite, in a timely manner. The proposed MCPS, indeed, can be deployed into personal and mobile devices, addressing the limitations of existing solutions for patients, healthcare practitioners, and researchers, through an efficient and easy accessible tool. It combines different neural network models trained on a new Italian dataset of 132 adult patients covering 9 heart sound categories (1 normal and 8 abnormal), also validated against two main open-access (Physionet/CinC Challenge 2016 and Korean) datasets. The overall MCPS performance (time, processing and energy resource utilization) and the high accuracy of the models (up to 98%) demonstrated the feasibility of the proposed solution, even with few data. The dataset supporting the findings of this paper is available upon request to the authors.