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Stream/Area:
-
Subject:
-
Paper ID:
IJSREM63734
Volume:
10 |
5 |
May 2026
Pages:
1-5
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

Department of Computer Science and Engineering
Malnad College of Engineering

Department of Computer Science and Engineering
Malnad College of Engineering

Department of Computer Science and Engineering
Malnad College of Engineering

Department of Computer Science and Engineering
Malnad College of Engineering

Department of Computer Science and Engineering
Malnad College of Engineering
Cardiovascular disease (CVD) remains the foremost cause of mortality worldwide, underscoring the urgent need for intelligent and early-warning clinical decision support systems. Conventional single-modality diagnostic approaches are unable to holistically capture the multi-dimensional risk landscape of cardiac pathology. This paper proposes a Multimodal Fusion Framework for Heart Disease detection (MFF-HDNet) that integrates electrocardiogram (ECG) signals, structured clinical parameters, demographic attributes, and lifestyle behavioural data through a dual-pathway deep learning architecture. The ECG temporal pathway employs a one-dimensional Convolutional Neural Network cascaded with a Gated Recurrent Unit (1D-CNN-GRU) to extract spatiotemporal waveform features, while the structured data pathway uses a Squeeze-and-Excitation Fully Connected Network (SE-FCN) augmented with residual skip connections for adaptive feature recalibration. A cross-attention fusion module combines representations from both pathways by modelling inter-modal dependencies. Class imbalance is remediated through SMOTE-ENN resampling, high-dimensional features are compressed via Principal Component Analysis (PCA), and clinical transparency is ensured through SHapley Additive exPlanations (SHAP).
KEYWORDS
This paper presented MFF-HDNet, a multimodal fusion framework for early cardiovascular disease prediction that in-tegrates ECG temporal signals and structured clinical-lifestyle data through a dual-pathway deep learning architecture with cross-attention fusion. The proposed system addresses three fundamental limitations of prior work: single-modality data reliance, susceptibility to class imbalance, and lack of model interpretability. Experimental results on the UCI Cleveland and Framing-ham Heart Study datasets demonstrate classification accura-cies of 97.8% and 98.6%, AUC-ROC values of 0.978 and 0.984, and consistently competitive F1-scores, outperform-ing multiple state-of-the-art baseline methods. The ablation study confirms that each architectural component—the SE-FCN encoder, the 1D-CNN-GRU encoder, the cross-attention fusion module, and SMOTE-ENN resampling—contributes in-dependently and additively to the observed performance gains. SHAP-based analysis further validates clinically coherent fea-ture importance rankings, providing transparent explanations aligned with established cardiovascular risk factors. Looking ahead, future work will focus on: (a) integration of imaging modalities such as echocardiography and coro-nary CT angiography for richer multimodal representation; (b) federated learning protocols to enable privacy-preserving multi-institutional model training; (c) deployment within IoT-enabled wearable cardiovascular monitoring platforms for continuous real-time risk assessment; and (d) incorporation of genetic and genomic biomarkers to support personalised car-diac risk stratification for genetically predisposed individuals
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Publication Date
5/21/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
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