Heart failure is considered one of the leading cause of death around the world. The diagnosis of heart failure is a challenging task especially in underdeveloped and developing countries where there is a paucity of human experts and equipments. Hence, different researchers have developed different intelligent systems for automated detection of heart failure. However, most of these methods are facing the problem of overfitting i.e. the recently proposed methods improved heart failure detection accuracy on testing data while compromising heart failure detection accuracy on training data. Consequently, the constructed models overfit to the testing data. In order, to come up with an intelligent system that would show good performance on both training and testing data, in this paper we develop a novel diagnostic system. The proposed diagnostic system uses random search algorithm (RSA) for features selection and random forest model for heart failure prediction. The proposed diagnostic system is optimized using grid search algorithm. Two types of experiments are performed to evaluate the precision of the proposed method. In the first experiment, only random forest model is developed while in the second experiment the proposed RSA based random forest model is developed. Experiments are performed using an online heart failure database namely Cleveland dataset. The proposed method is efficient and less complex than conventional random forest model as it produces 3.3% higher accuracy than conventional random forest model while using only 7 features. Moreover, the proposed method shows better performance than five other state of the art machine learning models. In addition, the proposed method achieved classification accuracy of 93.33% while improving the training accuracy as well. Finally, the proposed method shows better performance than eleven recently proposed methods for heart failure detection.

Heart failure (HF) is considered a deadliest disease worldwide. Therefore, different intelligent medical decision support systems have been widely proposed for detection of HF in literature. However, low rate of accuracies achieved on the HF data is a major problem in these decision support systems. To improve the prediction accuracy, we have developed a feature-driven decision support system consisting of two main stages. In the first stage, χ2 statistical model is used to rank the commonly used 13 HF features. Based on the χ2 test score, an optimal subset of features is searched using forward best-first search strategy. In the second stage, Gaussian Naive Bayes (GNB) classifier is used as a predictive model. The performance of the newly proposed method (χ2-GNB) is evaluated by using an online heart disease database of 297 subjects. Experimental results show that our proposed method could achieve a prediction accuracy of 93.33%. The developed method (i.e., χ2-GNB) improves the HF prediction performance of GNB model by 3.33%. Moreover, the newly proposed method also shows better performance than the available methods in literature that achieved accuracies in the range of 57.85–92.22%.

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