Spectral analysis of the heart sounds in children with and without pulmonary artery hypertension
- Mohamed Elgendi
- Prashant Bobhate
- Shreepal Jain
- Long Guo
- Jennifer Rutledge
- Yashu Coe
- Roger Zemp
- Dale Schuurmans, AICML
- Ian Adatia
Background Pulmonary artery hypertension (PAH) is difficult to recognize clinically. Digital stethoscopes offer an opportunity to re-evaluate the diagnosis of PAH. We hypothesized that spectral analysis of heart sound frequencies using recordings from a digital stethoscope would differ between children with and without PAH. Methods We recorded heart sounds using a digital stethoscope from 27 subjects (12 males) with a median age of 7 years (3 months to 19 years) undergoing simultaneous cardiac catheterization. 13 subjects had a mean pulmonary artery pressure (mPAp) < 25 mm Hg (8–24 mm Hg). 14 subjects had a mPAp ≥ 25 mm Hg (25–97 mm Hg). We applied the fast Fourier transform, power spectral analysis, separability testing, and linear discriminant analysis with leave-one-out cross-validation to the heart sounds recorded from the cardiac apex and 2nd left intercostal space (LICS) to examine the frequency domain. The significance of the results was determined using a t-test and rank-sum test. Results The relative power of the frequencies 21–22 Hz of the heart sounds recorded at the 2nd LICS was decreased significantly in subjects mPAp ≥ 25 mm Hg versus < 25 mm Hg. Conclusions Heart sound signals of patients with PAH contain significantly less relative power in the band 21–22 Hz compared to subjects with normal PAp. Information contained in the frequency domain may be useful in diagnosing PAH and aid the development of auscultation based techniques for diagnosing PAH. In the future, utilizing the diagnostic information contained in heart sounds recordings may require analysis of both the time and frequency domains.
Citation
M. Elgendi, P. Bobhate, S. Jain, L. Guo, J. Rutledge, Y. Coe, R. Zemp, D. Schuurmans, I. Adatia. "Spectral analysis of the heart sounds in children with and without pulmonary artery hypertension". International Journal of Cardiology, 173(1), pp 92-99, April 2014.| Keywords: | Machine learning, Phonocardiography, Auscultation, Stethoscope, Fast Fourier transform |
| Category: | In Journal |
| Web Links: | IJC |
| DOI |
BibTeX
@article{Elgendi+al:14,
author = {Mohamed Elgendi and Prashant Bobhate and Shreepal Jain and Long Guo
and Jennifer Rutledge and Yashu Coe and Roger Zemp and Dale Schuurmans and
Ian Adatia},
title = {Spectral analysis of the heart sounds in children with and without
pulmonary artery hypertension},
Volume = "173",
Number = "1",
Pages = {92-99},
journal = {International Journal of Cardiology},
year = 2014,
}Last Updated: February 19, 2020Submitted by Sabina P
