The increased availability of medical data has significantly impacted healthcare by enabling the application of machine / deep learning approaches in various instances. However, medical datasets are usually small and scattered across multiple providers, suffer from high class-imbalance, and are subject to stringent data privacy constraints. In this paper, the application of a data regularization algorithm, suitable for learning under high class-imbalance, in a federated learning setting is proposed. Specifically, the goal of the proposed method is to enhance model performance for cardiovascular disease prediction by tackling the class-imbalance that typically characterizes datasets used for this purpose, as well as by leveraging patient data available in different nodes of a federated ecosystem without compromising their privacy and enabling more resource sensitive allocation. The method is evaluated across four datasets for cardiovascular disease prediction, which are scattered across different clients, achieving improved performance. Meanwhile, its robustness under various hyperparameter settings, as well as its ability to adapt to different resource allocation scenarios, is verified.

Cardiovascular disease remains a leading cause of mortality in the contemporary world. Its association with smoking, elevated blood pressure, and cholesterol levels underscores the significance of these risk factors. This study addresses the challenge of predicting myocardial illness, a formidable task in medical research. Accurate predictions are pivotal for refining healthcare strategies. This investigation conducts a comparative analysis of six distinct machine learning models: Logistic Regression, Support Vector Machine, Decision Tree, Bagging, XGBoost, and LightGBM. The attained outcomes exhibit promise, with accuracy rates as follows: Logistic Regression (81.00%), Support Vector Machine (75.01%), XGBoost (92.72%), LightGBM (90.60%), Decision Tree (82.30%), and Bagging (83.01%). Notably, XGBoost emerges as the top-performing model. These findings underscore its potential to enhance predictive precision for coronary infarction. As the prevalence of cardiovascular risk factors persists, incorporating advanced machine learning techniques holds the potential to refine proactive medical interventions.