Automated cardiac auscultation for detection of pathologic heart murmurs

W. R. Thompson, C. S. Hayek, C. Tuchinda, J. K. Telford, J. S. Lombardo

Research output: Contribution to journalArticlepeer-review

Abstract

Experienced cardiologists can usually recognize pathologic heart murmurs with high sensitivity and specificity, although nonspecialists with less clinical experience may have more difficulty. Harsh, pansystolic murmurs of intensity grade ≥3 at the left upper sternal border (LUSB) are likely to be associated with pathology. In this study, we designed a system for automatically detecting systolic murmurs due to a variety of conditions and examined the correlation between relative murmur intensity and likelihood of pathology. Cardiac auscultatory examinations of 194 children and young adults were recorded, digitized, and stored along with corresponding echocardiographic diagnoses, and automated spectral analysis using continuous wavelet transforms was performed. Patients without heart disease and either no murmur or an innocent murmur (n = 95) were compared to patients with a variety of cardiac diagnoses and a pathologic systolic murmur present at the LUSB (n = 99). The sensitivity and specificity of the automated system for detecting pathologic murmurs with intensity grade ≥2 were both 96%, and for grade ≥3 murmurs they were 100%. Automated cardiac auscultation and interpretation may be useful as a diagnostic aid to support clinical decision making.

Original languageEnglish (US)
Pages (from-to)373-379
Number of pages7
JournalPediatric Cardiology
Volume22
Issue number5
DOIs
StatePublished - Jan 1 2001

Keywords

  • Auscultation
  • Automated diagnosis
  • Murmurs

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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