Heart disease remains the leading cause of death globally, accounting for approximately 32% of all deaths. Developing countries are particularly affected due to prevalent risk factors such as hypertension, diabetes, and poor lifestyle habits. Accurate and early diagnosis is essential for effective treatment and prevention. Technological advancements have enabled the precise analysis of complex clinical data. This study investigates the application of the Extreme Learning Machine (ELM) algorithm combined with outlier handling using One-Class Support Vector Machine (OCSVM) for heart disease classification. The dataset, obtained from the University of California, Irvine Machine Learning Repository, consists of 1190 clinical records with 12 numerical features. The ELM model was evaluated using the Tanh activation function and 10-fold cross-validation. Among the tested configurations, the best performance was achieved using 450 hidden neurons, yielding a sensitivity of 92,52% with a standard deviation of 4,00%. These results indicate that ELM, when paired with effective outlier handling and properly tuned parameters, can provide reliable and stable performance in heart disease classification.
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