An Automatic Approach Using ELM Classifier for HFpEF Identification Based on Heart Sound Characteristics.

Heart failure with preserved ejection fraction (HFpEF) is a complex and heterogeneous clinical syndrome. For the purpose of assisting HFpEF diagnosis, a non-invasive method using extreme learning machine and heart sound (HS) characteristics was provided in this paper. Firstly, the improved wavelet d...

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Publicado en:Journal of Medical Systems Vol. 43; no. 9
Autores principales: Liu, Yongmin, Guo, Xingming, Zheng, Yineng
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-019-1415-1
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        atl: An Automatic Approach Using ELM Classifier for HFpEF Identification Based on Heart Sound Characteristics.
      aug:
        au:
          Liu, Yongmin
          Guo, Xingming
          Zheng, Yineng
        affil: Key Laboratory of Biorheology Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, 400044, Chongqing, China
      sug:
        subj:
          Heart Failure Diagnosis
          Ventricular Ejection Fraction Physiology
          Machine Learning Methods
          Heart Sounds Physiology
          Noninvasive Procedures Methods
          Human
          Comparative Studies
          Heart Failure Physiopathology
          Image Processing, Computer Assisted
          Logistic Regression
          Algorithms
          Sensitivity and Specificity
          T-Tests
          Data Analysis Software
          Funding Source
      ab: Heart failure with preserved ejection fraction (HFpEF) is a complex and heterogeneous clinical syndrome. For the purpose of assisting HFpEF diagnosis, a non-invasive method using extreme learning machine and heart sound (HS) characteristics was provided in this paper. Firstly, the improved wavelet denoising method was used for signal preprocessing. Then, the logistic regression based hidden semi-Markov model algorithm was utilized to locate the boundary of the first HS and the second HS, therefore, the ratio of diastolic to systolic duration can be calculated. Eleven features were extracted based on multifractal detrended fluctuation analysis to analyze the differences of multifractal behavior of HS between healthy people and HFpEF patients. Afterwards, the statistical analysis was implemented on the extracted HS characteristics to generate the diagnostic feature set. Finally, the extreme learning machine was applied for HFpEF identification by the comparison of performances with support vector machine. The result shows an accuracy of 96.32%, a sensitivity of 95.48% and a specificity of 97.10%, which demonstrates the effectiveness of HS for HFpEF diagnosis.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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