Time-frequency transforms: a new approach to first heart sound frequency dynamics

The binomial joint time-frequency transform is used to test the hypothesis that first heart sound frequency rises during the isovolumic contraction period. Cardiac vibrations were recorded from eight open-chest dogs using an ultralight accelerometer cemented directly to the epicardium of the anterior left ventricle. Three characteristic time-frequency spectral patterns were evident in the animals investigated: (1) a frequency component that rose from approximately 40-140 Hz in a 30-50-ms interval immediately following the ECG R-wave, (2) a slowly varying or static frequency of 60-100 Hz beginning midway through the isovolumic contraction period, and (3) broadband peaks occurring at the time of the Ia and Ib high frequency components. The binomial transform provided much better resolution than the spectrograph or spectrogram. By revealing the onset and dynamics of first heart sound frequencies, time-frequency transforms may allow mechanical assessment of individual cardiac structures.