Dynamic spectral phonocardiograph

• US 5,012,815 A
• Filed: 06/05/1990
• Issued: 05/07/1991
• Est. Priority Date: 02/02/1989
• Status: Expired due to Term

• Current Assignee: Yale University
• Original Assignee: Yale University
• Inventors: Bennett, Jean, Bennett, William R. Jr.
• Primary Examiner(s): Jaworski, Francis
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US07/533,544
• Time in Patent Office: 336 Days
• Field of Search: 128/715, 128/699, 128/710, 364/413.05, 364/413.06
• US Class Current: 600/528
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

A system of generating a spectral phonocardiogram which summarizes time-dependent changes in the heart sounds throughout the heart cycle. The system is based on the projection of spectral surfaces of the Fourier transform of heart sounds as a function of time and is a useful diagnostic tool both for a cardiologist and a general practitioner. Permanent copies of the spectral phonocardiograms can provide useful records for monitoring the development of heart disease in a given individual. The system provides a useful means for rapid screening of large groups of people for heart disease by non-specialists in cardiology. A variant of the system provides automated computer diagnosis of the probable nature of the heart disease.

Claims

1. A method of producing automated diagnosis of heart disease in a patient from irregular heart sound patterns at different portions of a heart cycle, comprising steps of:

a. producing a computer-based catalog of sets of first spectral expansion coefficients based on Fourier analysis of heart sounds from previous diagnosis of representative cases of irregular heart ground patterns;

b. producing a set of second spectral expansion coefficients based on Fourier analysis of heart sounds for a particular unknown example of irregular heart ground patterns;

c. performing generalized scalar products of the set of second spectral expansion coefficients with each of said sets of first expansion coefficients and for producing a heart disease identification signal based on a maximum value of the generalized scalar products.

2. The method according to claim 1, wherein the second spectral expansion coefficients are produced by placing at least one microphone in the vicinity of the patient'"'"'s heart to produce an analog output signal corresponding to heart sounds, converting the analog signal of the at least one microphone to a digital signal, and performing a fast Fourier transform on the digital signal to determine a particular set of second spectral expansion coefficients of the heart sounds.

3. The method according to claim 1, wherein the step of producing the second expansion coefficients further comprises applying an adjustable resolution time-window weighting function, F, to the digital signal over a time-window of duration T, wherein F is described by

4. The method according to claim 3, wherein the second weighting function is an A-weighting function.

5. The method according to claim 3, wherein the second weighting function is a B-weighting function.

6. The method according to claim 3, wherein the second weighting function is a C-weighting function.

7. A device for producing automated diagnosis of heart disease in a patient from irregular heart sound patterns at different portions of a heart cycle, comprising:

a. means for producing a computer-based catalog of sets of first spectral expansion coefficients based on Fourier analysis of heart sounds from previous diagnosis of representative cases of irregular heart ground patterns

b. means for producing a set of second spectral expansion coefficients based on Fourier analysis of heart sounds for a particular unknown example of irregular heart ground patterns; and

c. means for performing generalized scalar products of the set of second spectral expansion coefficients with lack of said sets of first expansion coefficients and for producing a heart disease identification signal based on a maximum value of the generalized scalar products.

8. The device according to claim 7, wherein the means for producing the second spectral expansion coefficients comprises at least one microphone adapted to be placed in the vicinity of the patient'"'"'s heart to produce an analog output signal corresponding to heart sounds, means for converting the analog signal of the at least one microphone to a digital signal, and means performing a fast Fourier transform on the digital signal to determine a particular set of second spectral expansion coefficients of the heart sounds.

9. The device according to claim 7, wherein the means for producing the second expansion coefficients further comprises means for applying an adjustable resolution time-window weighting function, F, to the digital signal over a time-window of duration T, wherein F is described by

10. The device according to claim 9, wherein the second weighting function is an A-weighting function.

11. The device according to claim 9, wherein the second weighting function is a B-weighting function.

12. The device according to claim 9, wherein the second weighting function is a C-weighting function.