An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis

Abstract Coronary heart disease (CHD) is the world’s leading cause of death, contributing to a high mortality rate. This emphasizes the requirement for an advanced decision support system in order to evaluate the risk of CHD. This study presents an Artificial Neural Network (ANN) based intelligent h...

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Main Authors: Subhash Mondal, Ranjan Maity, Amitava Nag
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85765-x
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author Subhash Mondal
Ranjan Maity
Amitava Nag
author_facet Subhash Mondal
Ranjan Maity
Amitava Nag
author_sort Subhash Mondal
collection DOAJ
description Abstract Coronary heart disease (CHD) is the world’s leading cause of death, contributing to a high mortality rate. This emphasizes the requirement for an advanced decision support system in order to evaluate the risk of CHD. This study presents an Artificial Neural Network (ANN) based intelligent healthcare system to predict the risk of CHD. The proposed ANN model is trained using the Framingham Heart Study (FHS) dataset, which comprises 4240 data instances and 15 potential risk factors. To combat overfitting, the proposed model uses four hidden dense layers with dropout rates ranging from 0.5 to 0.2. Also, two activation functions, ReLU and LeakyReLU, are used in conjunction with four optimizers: Adam, SGD, RMSProp, and AdaDelta to fine-tune the parameters and minimize the loss functions. Moreover, three sophisticated preprocessing methods, SMOTE, SMOTETomek, and SMOTEENN, along with the proposed two-stage sampling approach, are applied to address the target class data imbalance. Experimental results demonstrate that the Adam optimizer coupled with the ReLU activation function and the combined sequential effect of SMOTEENN and SMOTETomek’s two-stage sampling approach achieved superior performance. The validation accuracy reached 96.25% with a recall value of 0.98, outperforming existing approaches reported in the literature. The combined effect of approaches will be evidence of the modern healthcare decision-making support system for the risk prediction of CHD.
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spelling doaj-art-6351ebed44ee4349861e4435ae03c9522025-02-09T12:34:28ZengNature PortfolioScientific Reports2045-23222025-02-0115112410.1038/s41598-025-85765-xAn efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysisSubhash Mondal0Ranjan Maity1Amitava Nag2Computer Science and Engineering, Central Institute of Technology KokrajharComputer Science and Engineering, Central Institute of Technology KokrajharComputer Science and Engineering, Central Institute of Technology KokrajharAbstract Coronary heart disease (CHD) is the world’s leading cause of death, contributing to a high mortality rate. This emphasizes the requirement for an advanced decision support system in order to evaluate the risk of CHD. This study presents an Artificial Neural Network (ANN) based intelligent healthcare system to predict the risk of CHD. The proposed ANN model is trained using the Framingham Heart Study (FHS) dataset, which comprises 4240 data instances and 15 potential risk factors. To combat overfitting, the proposed model uses four hidden dense layers with dropout rates ranging from 0.5 to 0.2. Also, two activation functions, ReLU and LeakyReLU, are used in conjunction with four optimizers: Adam, SGD, RMSProp, and AdaDelta to fine-tune the parameters and minimize the loss functions. Moreover, three sophisticated preprocessing methods, SMOTE, SMOTETomek, and SMOTEENN, along with the proposed two-stage sampling approach, are applied to address the target class data imbalance. Experimental results demonstrate that the Adam optimizer coupled with the ReLU activation function and the combined sequential effect of SMOTEENN and SMOTETomek’s two-stage sampling approach achieved superior performance. The validation accuracy reached 96.25% with a recall value of 0.98, outperforming existing approaches reported in the literature. The combined effect of approaches will be evidence of the modern healthcare decision-making support system for the risk prediction of CHD.https://doi.org/10.1038/s41598-025-85765-xCoronary heart diseaseArtificial neural networksOptimization techniquesAdam optimizerPerformance efficiencyActivation functions
spellingShingle Subhash Mondal
Ranjan Maity
Amitava Nag
An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
Scientific Reports
Coronary heart disease
Artificial neural networks
Optimization techniques
Adam optimizer
Performance efficiency
Activation functions
title An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
title_full An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
title_fullStr An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
title_full_unstemmed An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
title_short An efficient artificial neural network-based optimization techniques for the early prediction of coronary heart disease: comprehensive analysis
title_sort efficient artificial neural network based optimization techniques for the early prediction of coronary heart disease comprehensive analysis
topic Coronary heart disease
Artificial neural networks
Optimization techniques
Adam optimizer
Performance efficiency
Activation functions
url https://doi.org/10.1038/s41598-025-85765-x
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