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Abstract: The one-dimensional heart sound signal is converted into a two-dimensional#br# phonocardiogram, then image feature of heart sounds based on image processing technology in a#br# two-dimensional phonocardiogram is extracted. Firstly the wavelet noise reduction and amplitude#br# normalization of one-dimensional heart sound by one-dimensional signal processing method are#br# realized, and then heart sounds after the treatment are converted into two-dimensional#br# phonocardiogram with uniformity and comparability, and pretreatment. And the image#br# characteristics of two-dimensional phonocardiogram are analyzed, which is characterization of#br# heart sounds’ physiological information combining with heart sounds’ physiological significance#br# and two-dimensional phonocardiogram’s image features, and the focus is on vertical and#br# horizontal ratio of coordinate and sequence code of inflection point. At last, the feasibility of#br# classification and identification is explored of 2D-PCG using Euclidean distance and Support#br# Vector Machine (SVM) based on vertical and horizontal ratio of coordinate, sequence code of#br# inflection point and wavelet coefficients. Experimental results show that the three features can#br# achieve the classification and recognition of the two-dimensional phonocardiogram, and inflection#br# point sequence code gets the highest recognition rate. The method of 2D-PCG classification and#br# identification based on a two- image processing has the feasibility and practical applicability, and#br# has broad application prospects.#br# Key words: two-dimensional phonocardiogram; image processing; feature extraction;#br# recognition