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 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%.