Screening of Congenital Heart Diseases with Fetal Phonocardiography
The paper presents a novel screening method to
indicate congenital heart diseases (CHD), which otherwise could
remain undetected because of their low level. Therefore, not
belonging to the high-risk population, the pregnancies are not subject
to the regular fetal monitoring with ultrasound echocardiography.
Based on the fact that CHD is a morphological defect of the heart
causing turbulent blood flow, the turbulence appears as a murmur,
which can be detected by fetal phonocardiography (fPCG). The
proposed method applies measurements on the maternal abdomen
and from the recorded sound signal a sophisticated processing
determines the fetal heart murmur. The paper describes the problems
and the additional advantages of the fPCG method including the
possibility of measurements at home and its combination with the
prescribed regular cardiotocographic (CTG) monitoring. The
proposed screening process implemented on a telemedicine system
provides an enhanced safety against hidden cardiac diseases.
[1] J. A. Copel, A. S. Tan, and C. S. Kleinman, “Does a prenatal diagnosis
of congenital heart diseases alter short-term outcome?,” Prenatal
Diagnosis, vol. 10, No. 4, pp. 237–241, Oct. 2002.[2] M. S. Cohen, and M. A. Frommelt, “Does fetal diagnosis make a
difference?,” Clinics in Perinatalogy, vol. 32, no. 4, pp. 877–883, Dec.
2005.
[3] L. E. Hunter, and J. M. Simpson, “Sonographic screening for congenital
heart disease,” Nature Reviews Cardiology, vol. 11, pp. 323–334, 2014.
[4] A.-L. Noponen, and S. Lukkarinnen, A. Angerla, and R. Sepponen,
“Phono-spectrographic analysis of heart murmur in children,” BMC
Pediatrics, vol. 7, 23, 2007.
[5] F. Kovács, Cs. Horváth, Á. T. Balogh, and G. Hosszú, “Extended Non-
Invasive Fetal Monitoring by Detailed Analysis of Data Measured with
Phonocardiography,” IEEE Trans. Biomed. Eng., vol. 58, no. 1, pp. 64–
70, 2011.
[6] M. Godinez, A. Jiménez, R. Ortiz, and M. Peňa, “On-line fetal heart rate
monitor by phonocardiography,” in Proc. 25th Int. Conf. IEEE EMBS,
Cancun, Mexico, 17-21 Sept 2003, pp. 3141–3144.
[7] F. Kovács, N. Kersner, K. Kádár, and G. Hosszú, “Computer method for
perinatal screening of cardiac murmur using fetal phonocardiography,”
Computers in Biology and Medicine, pp. 1130–1136, December 2009.
[8] Y. Song, W. Xie, J. F. Chen, and K. S. Phua, “Passive Acoustic
Maternal Abdominal Fetal Heart Rate Monitoring Using Wavelet
Transform,” Computers in Cardiology, vol. 33, pp. 581–584, 2006.
[9] A. K. Mittra, A. Shukla, and A. S. Zadgaonkar, “System simulation and
comparative analysis of foetal heart sound de-noising techniques for
advanced phonocardiography,” Int. Journ. Biomed. Eng. and Techn.,
vol.1, no.1, pp. 73–85, 2007.
[10] F. Kovács, M. Török, Cs Horváth, Á. T. Balogh, T. Zsedrovits, A. Nagy,
and G. Hosszú, “A New, Phonocardiography-Based Telemetric Fetal
Home Monitoring System,” Telemedicine and e-Health, vol. 16, no. 8,
pp. 878–882, October 2010.
[11] J. Xu, L. G. Durand, and P. Pibarot, “Extraction of the aortic and
pulmonary components of the second heart sound using a nonlinear
transient chirp signal model,” IEEE Trans. Biomed. Eng., vol. 48, pp.
277–283, 2001.
[1] J. A. Copel, A. S. Tan, and C. S. Kleinman, “Does a prenatal diagnosis
of congenital heart diseases alter short-term outcome?,” Prenatal
Diagnosis, vol. 10, No. 4, pp. 237–241, Oct. 2002.[2] M. S. Cohen, and M. A. Frommelt, “Does fetal diagnosis make a
difference?,” Clinics in Perinatalogy, vol. 32, no. 4, pp. 877–883, Dec.
2005.
[3] L. E. Hunter, and J. M. Simpson, “Sonographic screening for congenital
heart disease,” Nature Reviews Cardiology, vol. 11, pp. 323–334, 2014.
[4] A.-L. Noponen, and S. Lukkarinnen, A. Angerla, and R. Sepponen,
“Phono-spectrographic analysis of heart murmur in children,” BMC
Pediatrics, vol. 7, 23, 2007.
[5] F. Kovács, Cs. Horváth, Á. T. Balogh, and G. Hosszú, “Extended Non-
Invasive Fetal Monitoring by Detailed Analysis of Data Measured with
Phonocardiography,” IEEE Trans. Biomed. Eng., vol. 58, no. 1, pp. 64–
70, 2011.
[6] M. Godinez, A. Jiménez, R. Ortiz, and M. Peňa, “On-line fetal heart rate
monitor by phonocardiography,” in Proc. 25th Int. Conf. IEEE EMBS,
Cancun, Mexico, 17-21 Sept 2003, pp. 3141–3144.
[7] F. Kovács, N. Kersner, K. Kádár, and G. Hosszú, “Computer method for
perinatal screening of cardiac murmur using fetal phonocardiography,”
Computers in Biology and Medicine, pp. 1130–1136, December 2009.
[8] Y. Song, W. Xie, J. F. Chen, and K. S. Phua, “Passive Acoustic
Maternal Abdominal Fetal Heart Rate Monitoring Using Wavelet
Transform,” Computers in Cardiology, vol. 33, pp. 581–584, 2006.
[9] A. K. Mittra, A. Shukla, and A. S. Zadgaonkar, “System simulation and
comparative analysis of foetal heart sound de-noising techniques for
advanced phonocardiography,” Int. Journ. Biomed. Eng. and Techn.,
vol.1, no.1, pp. 73–85, 2007.
[10] F. Kovács, M. Török, Cs Horváth, Á. T. Balogh, T. Zsedrovits, A. Nagy,
and G. Hosszú, “A New, Phonocardiography-Based Telemetric Fetal
Home Monitoring System,” Telemedicine and e-Health, vol. 16, no. 8,
pp. 878–882, October 2010.
[11] J. Xu, L. G. Durand, and P. Pibarot, “Extraction of the aortic and
pulmonary components of the second heart sound using a nonlinear
transient chirp signal model,” IEEE Trans. Biomed. Eng., vol. 48, pp.
277–283, 2001.
@article{"International Journal of Medical, Medicine and Health Sciences:70165", author = "F. Kovács and K. Kádár and G. Hosszú and Á. T. Balogh and T. Zsedrovits and N. Kersner and A. Nagy and Gy. Jeney", title = "Screening of Congenital Heart Diseases with Fetal Phonocardiography", abstract = "The paper presents a novel screening method to
indicate congenital heart diseases (CHD), which otherwise could
remain undetected because of their low level. Therefore, not
belonging to the high-risk population, the pregnancies are not subject
to the regular fetal monitoring with ultrasound echocardiography.
Based on the fact that CHD is a morphological defect of the heart
causing turbulent blood flow, the turbulence appears as a murmur,
which can be detected by fetal phonocardiography (fPCG). The
proposed method applies measurements on the maternal abdomen
and from the recorded sound signal a sophisticated processing
determines the fetal heart murmur. The paper describes the problems
and the additional advantages of the fPCG method including the
possibility of measurements at home and its combination with the
prescribed regular cardiotocographic (CTG) monitoring. The
proposed screening process implemented on a telemedicine system
provides an enhanced safety against hidden cardiac diseases.", keywords = "Cardiac murmurs, fetal phonocardiography,
screening of CHDs, telemedicine system.", volume = "9", number = "6", pages = "497-5", }