Assessing systolic time-intervals from heart sound: a feasibility study

Abstract

Systolic time intervals are highly correlated to fundamental cardiac functions. In this paper we investigate the feasibility of using heart sound (HS) to accurately measure the opening and closing moments of the aortic valve, since these are crucial moments to define the main systolic timings of the heart cycle, i.e. the pre-ejection period (PEP) and the left ventricular ejection time (LVET). We introduce a HS model, which is applied to define several features that provide clear markers to identify these moments in the HS. Using these features and a comparative analysis with registered echocardiographies from 17 subjects, the results achieved in this study suggest that HS can be used to accurately estimate LVET and PEP.