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July 12, 20260 citationsOpen Access

Heart Sound Classification with Handcrafted Audio Features and Classical Machine Learning

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IFIliano Fasolino

Key Points

  • This work aims to classify heart sound recordings as normal or abnormal using handcrafted audio features and machine learning techniques.
  • Data sourced from the PhysioNet/CinC Challenge 2016 training set with imbalanced classes.
  • Heart sounds are analyzed using Mel-Frequency Cepstral Coefficients and classified by logistic regression, support vector machine with RBF kernel, and random forest.
  • Performance evaluated using record-level cross-validation and class-aware metrics.
  • Random forest classifier achieved an AUC of 0.95 during cross-validation.
  • Leave-one-source-out experiment showed performance drop, nearing chance level, highlighting variability between recording sites.
  • Identification of key features influencing classification decisions provided explainability.

Abstract

This work describes a system that classifies phonocardiogram (PCG) recordings as normal or abnormal using handcrafted audio features and classical machine learning. The data comes from the PhysioNet/CinC Challenge 2016 training set, which is imbalanced at roughly four normal recordings for each abnormal one. Each recording is band-pass filtered, split into short overlapping frames, and described by Mel-Frequency Cepstral Coefficients together with a few spectral statistics. The per-frame values are summarized into a fixed vector of 62 numbers per recording. We compare three classifiers of increasing flexibility (logistic regression, a support vector machine with an RBF kernel, and a random forest) and evaluate them with class-aware metrics. With record-level cross-validation the random forest reaches an AUC of 0.95. We also report a leave-one-source-out experiment, where performance drops close to chance, reflecting the differences between recording sites. A short explainability section identifies which features drive the decisions.

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Cite This Study

Iliano Fasolino (2026) studied this question.

synapsesocial.com/papers/6a532f464f7abc118adecff0https://doi.org/10.5281/zenodo.21286048
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