Abstract
Nowadays, coronary heart disease is one of the most fatal disease globally. Many researchers and medical technicians have developed and designed various computer-aided diagnosis systems using various machine learning models such as random forest, linear regression, rough set, naive bayes, artificial neural network, support vector machine, multivariate adaptive regression splines, K-nearest neighbor and decision tree to name a few. This era of digital health domain demands early prediction of heart disease which is the crucial need to control the global mortality rate of this particular disease. Commonly used methods for heart disease detection are clinical and expert dependant which makes them costly and inaccessible to the masses. In this paper, an efficient-cum-automated coronary heart disease diagnosis model is being proposed using multi-layered artificial neural network with back propagation algorithm. The proposed model compares the variation caused by different number of neurons used in the hidden layers for different transfer functions. The model has been implemented on Kaggle and Statlog heart disease dataset with thirteen clinical parameters. The experimental results attained an accuracy of 99.92% using six hidden layers with tan-hyperbolic transfer function. The results have been substantiated through statistical parameters and k-fold cross validation.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig4_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig5_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig6_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig7_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig8_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig9_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig10_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig11_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig12_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig13_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig14_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig15_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig16_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig17_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig18_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig19_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig20_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig21_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig22_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig23_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig24_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig25_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig26_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig27_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig28_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig29_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig30_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig31_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig32_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig33_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig34_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig35_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig36_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig37_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig38_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig39_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig40_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig41_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig42_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig43_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig44_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig45_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig46_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig47_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs40860-022-00192-3/MediaObjects/40860_2022_192_Fig48_HTML.png)
Similar content being viewed by others
References
CDC Technical report (2019). https://www.cdc.gov/datastatistics/index.html
Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN (2020) Heart disease and stroke statistics 2020 update: a report from the American Heart Association. Circulation 141(9):139–596
Zhang Z (2018) Artificial neural network. In: Multivariate time series analysis in climate and environmental research, pp 1–35. Springer. https://doi.org/10.1016/B0-12-227410-5/00837-1
Abiodun OI, Jantan A, Omolara AE, Dada KV, Mohamed NA, Arshad H (2018) State-of-the-art in artificial neural network applications: a survey. Heliyon 4(11):00938. https://doi.org/10.1016/j.heliyon.2018.e00938
Mirbabaie M, Stieglitz S, Frick NR (2021) Artificial intelligence in disease diagnostics: a critical review and classification on the current state of research guiding future direction. Health Technol 11(4):693–731. https://doi.org/10.1007/s12553-021-00555-5
Rudomin P, Arbib MA, Cervantes-Pérez F, Romo R (2012) Neuroscience: from neural networks to artificial intelligence: proceedings of a US–Mexico Seminar Held in the City of Xalapa in the State of Veracruz on December 9–11, 1991 vol. 4. Springer. https://doi.org/10.1007/978-1-4612-2834-9
Yadav AK, Chandel SS (2014) Solar radiation prediction using artificial neural network techniques: a review. Renew Sustain Energy Rev 33:772–781. https://doi.org/10.1016/j.rser.2013.08.055
Costantini S, De Gasperis G, Olivieri R (2019) Digital forensics and investigations meet artificial intelligence. Ann Math Artif Intell 86(1):193–229. https://doi.org/10.1007/s10472-019-09632-y
Khanagar SB, Al-Ehaideb A, Vishwanathaiah S, Maganur PC, Patil S, Naik S, Baeshen HA, Sarode SS (2021) Scope and performance of artificial intelligence technology in orthodontic diagnosis, treatment planning, and clinical decision-making - a systematic review. J Dental Sci 16(1):482–492. https://doi.org/10.1016/j.jds.2020.05.022
Tumpa PP, Kabir MA (2021) An artificial neural network based detection and classification of melanoma skin cancer using hybrid texture features. Sens Int 2:100128. https://doi.org/10.1016/j.sintl.2021.100128
Kapoor R, Walters SP, Al-Aswad LA (2019) The current state of artificial intelligence in ophthalmology. Surv Ophthalmol 64(2):233–240. https://doi.org/10.1016/j.survophthal.2018.09.002
Bagi Ks, Shreedhara KS (2014) Biometric measurement and classification of IUGR using neural networks. In: 2014 international conference on contemporary computing and informatics (IC3I), pp 157–161. https://doi.org/10.1109/IC3I.2014.7019613
Poor NG, West NC, Sreepada RS, Murthy S, Görges M (2021) An artificial neural network-based pediatric mortality risk score: development and performance evaluation using data from a large north american registry. JMIR Med Inform 9(8):24079. https://doi.org/10.2196/24079
Juan-hua S, He-jun L, Qi-ming D, Ping L, Bu-xi K (2005) Prediction and analysis of the aging properties of rapidly solidified Cu–Cr–Sn–Zn alloy through neural network. J Mater Eng Perform 14(3):363–366. https://doi.org/10.1361/10599490524002
(2021) Machine learning applications in radiation oncology. Phys Imaging Rad Oncol 19:13–24. https://doi.org/10.1016/j.phro.2021.05.007
Liu C, Xie L, Kong W, Lu X, Zhang D, Wu M, Zhang L, Yang B (2019) Prediction of suspicious thyroid nodule using artificial neural network based on radiofrequency ultrasound and conventional ultrasound: a preliminary study. Ultrasonics 99:105951. https://doi.org/10.1016/j.ultras.2019.105951
Shorewala V (2021) Early detection of coronary heart disease using ensemble techniques. Inform Med Unlock 26:100655. https://doi.org/10.1016/j.imu.2021.100655
Khourdifi Y, Bahaj M (2019) Heart disease prediction and classification using machine learning algorithms optimized by particle swarm optimization and ant colony optimization. Int J Intel Eng Syst 12(1):242–252. https://doi.org/10.22266/ijies2019.0228.24
Atkov OY, Gorokhova SG, Sboev AG, Generozov EV, Muraseyeva EV, Moroshkina SY, Cherniy NN (2012) Coronary heart disease diagnosis by artificial neural networks including genetic polymorphisms and clinical parameters. J Cardiol 59(2):190–194. https://doi.org/10.1016/j.jjcc.2011.11.005
Amma NGB (2012) Cardiovascular disease prediction system using genetic algorithm and neural network. In: 2012 international conference on computing, communication and applications, pp 1–5. https://doi.org/10.1109/ICCCA.2012.6179185
Shao YE, Hou C-D, Chiu C-C (2014) Hybrid intelligent modeling schemes for heart disease classification. Appl Soft Comput 14:47–52. https://doi.org/10.1016/j.asoc.2013.09.020
Feshki MG, Shijani OS (2016) Improving the heart disease diagnosis by evolutionary algorithm of PSO and feed forward neural network. In: 2016 artificial intelligence and robotics (IRANOPEN), pp 48–53. https://doi.org/10.1109/RIOS.2016.7529489
Uyar K, Alhan A (2017) Diagnosis of heart disease using genetic algorithm based trained recurrent fuzzy neural networks. Proc Comput Sci 120:588–593. https://doi.org/10.1016/j.procs.2017.11.283
Karayılan T, Kılıç Ö (2017) Prediction of heart disease using neural network. In: 2017 international conference on computer science and engineering (UBMK), pp 719–723. IEEE
Gawande N, Barhatte A (2017) Heart diseases classification using convolutional neural network. In: 2017 2nd international conference on communication and electronics systems (ICCES), pp 17–20. IEEE
Costa W, Figueiredo L, Alves E (2019) Application of an artificial neural network for heart disease diagnosis. In: XXVI Brazilian Congress on Biomedical Engineering, pp 753–758 . Springer. https://doi.org/10.1007/978-981-13-2517-5_115
Latha CBC, Jeeva SC (2019) Improving the accuracy of prediction of heart disease risk based on ensemble classification techniques. Inform Med Unlock 16:100203. https://doi.org/10.1016/j.imu.2019.100203
Muhammad Y, Tahir M, Hayat M, Chong KT (2020) Early and accurate detection and diagnosis of heart disease using intelligent computational model. Sci Rep 10(1):1–17. https://doi.org/10.1038/s41598-020-76635-9
Shihab AN, Mokarrama MJ, Karim R, Khatun S, Arefin MS (2020) An IoT-based heart disease detection system using RNN. In: International conference on image processing and capsule networks, pp 535–545. Springer
Tiwari S (2020) Activation functions in neural networks. https://www.geeksforgeeks.org/
Duggal R, Gupta A (2017) P-telu: parametric tan hyperbolic linear unit activation for deep neural networks. In: Proceedings of the IEEE international conference on computer vision workshops, pp 974–978. https://doi.org/10.1109/ICCVW.2017.119
Wallach D, Goffinet B (1989) Mean squared error of prediction as a criterion for evaluating and comparing system models. Ecol Model 44(3):299–306. https://doi.org/10.1016/0304-3800(89)90035-5
Ting KM (2017) In: Sammut C, Webb GI (eds) Confusion matrix. Springer, Boston. https://doi.org/10.1007/978-1-4899-7687-1_50
Davis J, Goadrich M (2006) The relationship between precision-recall and roc curves. In: Proceedings of the 23rd international conference on machine learning, pp 233–240
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Kaur, J., Khehra, B.S. & Singh, A. Back propagation artificial neural network for diagnose of the heart disease. J Reliable Intell Environ 9, 57–85 (2023). https://doi.org/10.1007/s40860-022-00192-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40860-022-00192-3