Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease

Previous studies have shown that the acoustic characteristics of coronary heart disease (CHD) are the diastolic turbulent murmurs. But there is little research on how to distinguish the differences between diastolic turbulent murmurs and diastolic valvular murmurs. In order to improve the diagnosis...

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Main Authors: Haixia Li, Guofeng Ren, Xiaopu Yu, Dongying Wang, Shizhe Wu
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9186271/
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author Haixia Li
Guofeng Ren
Xiaopu Yu
Dongying Wang
Shizhe Wu
author_facet Haixia Li
Guofeng Ren
Xiaopu Yu
Dongying Wang
Shizhe Wu
author_sort Haixia Li
collection DOAJ
description Previous studies have shown that the acoustic characteristics of coronary heart disease (CHD) are the diastolic turbulent murmurs. But there is little research on how to distinguish the differences between diastolic turbulent murmurs and diastolic valvular murmurs. In order to improve the diagnosis accuracy of CHD based on the analysis of diastolic murmurs, empirical wavelet transform was applied to distinguish the difference of diastolic murmurs between in CHD and in valvular disease. Firstly, the spectrum of diastolic heart sounds was divided into three modes and the segmentation boundaries were set as [150], 200] Hz. Next, the diastolic modal spectrums were obtained. It is found that the essential difference of diastolic murmurs between in CHD and in mitral stenosis is the third modal spectrum. Finally, the characteristic parameter P3 was defined and used to distinguish the diastolic murmurs in CHD and in valvular disease. The performance of the proposed method is tested and the results show when the proposed method was used to identify the diastolic murmurs of CHD, Se is 94.7%, Pp is 93.4% and Oa is 88.7%; When the proposed method identifying the diastolic murmurs of valvular disease, Se is 93.3%, Pp is 94.6% and Oa is 88.6%.
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spelling doaj.art-0b45a5e7f18a4f75b9f8d85ef8ea041a2022-12-21T17:26:24ZengIEEEIEEE Access2169-35362020-01-01816040716041310.1109/ACCESS.2020.30210939186271Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular DiseaseHaixia Li0https://orcid.org/0000-0003-0778-4322Guofeng Ren1Xiaopu Yu2Dongying Wang3Shizhe Wu4Department of Electronics, Xinzhou Teachers University, Xinzhou, ChinaDepartment of Electronics, Xinzhou Teachers University, Xinzhou, ChinaShanxi Medical University of China, Taiyuan, ChinaShanxi Medical University of China, Taiyuan, ChinaTaiyuan Zhida Ivy League Middle School, Taiyuan, ChinaPrevious studies have shown that the acoustic characteristics of coronary heart disease (CHD) are the diastolic turbulent murmurs. But there is little research on how to distinguish the differences between diastolic turbulent murmurs and diastolic valvular murmurs. In order to improve the diagnosis accuracy of CHD based on the analysis of diastolic murmurs, empirical wavelet transform was applied to distinguish the difference of diastolic murmurs between in CHD and in valvular disease. Firstly, the spectrum of diastolic heart sounds was divided into three modes and the segmentation boundaries were set as [150], 200] Hz. Next, the diastolic modal spectrums were obtained. It is found that the essential difference of diastolic murmurs between in CHD and in mitral stenosis is the third modal spectrum. Finally, the characteristic parameter P3 was defined and used to distinguish the diastolic murmurs in CHD and in valvular disease. The performance of the proposed method is tested and the results show when the proposed method was used to identify the diastolic murmurs of CHD, Se is 94.7%, Pp is 93.4% and Oa is 88.7%; When the proposed method identifying the diastolic murmurs of valvular disease, Se is 93.3%, Pp is 94.6% and Oa is 88.6%.https://ieeexplore.ieee.org/document/9186271/Diastolic murmurscoronary heart disease (CHD)valvular diseaseempirical wavelet transform (EWT)
spellingShingle Haixia Li
Guofeng Ren
Xiaopu Yu
Dongying Wang
Shizhe Wu
Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
IEEE Access
Diastolic murmurs
coronary heart disease (CHD)
valvular disease
empirical wavelet transform (EWT)
title Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
title_full Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
title_fullStr Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
title_full_unstemmed Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
title_short Discrimination of the Diastolic Murmurs in Coronary Heart Disease and in Valvular Disease
title_sort discrimination of the diastolic murmurs in coronary heart disease and in valvular disease
topic Diastolic murmurs
coronary heart disease (CHD)
valvular disease
empirical wavelet transform (EWT)
url https://ieeexplore.ieee.org/document/9186271/
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AT guofengren discriminationofthediastolicmurmursincoronaryheartdiseaseandinvalvulardisease
AT xiaopuyu discriminationofthediastolicmurmursincoronaryheartdiseaseandinvalvulardisease
AT dongyingwang discriminationofthediastolicmurmursincoronaryheartdiseaseandinvalvulardisease
AT shizhewu discriminationofthediastolicmurmursincoronaryheartdiseaseandinvalvulardisease