Deep learning models for electrocardiogram (ECG) classification often suffer from significant performance degradation when deployed in unseen domains due to shifts in acquisition devices and patient p...
The study investigates how different tokenization methods affect ECG Transformer models by comparing eight strategies across four backbone architectures on the CPSC2018 classification task. Physiology-aware tokenizations such as Median-beat and HeartLang achieve higher mean macro-AUCs (0.893 and 0.889) than point-wise and patch-wise approaches (0.822 and 0.824), while also reducing sequence length and training memory usage. Combining the two physiology-aware representations further improves macro-AUC by 8.2%.
By Jiawei Li, Fabio Bonassi, Johan Sundstr\"om, Thomas B. Sch\"on, Ant\^onio H. Ribeiro
arXiv:2608. 12695v1 Announce Type: new Abstract: Self-supervised electrocardiogram (ECG) models are often trained on a few seconds of ECG signal and, increasingly, on discretized token sequences.
By Ahmed Sameh, Ramzi Al-Sharawi, Yogatheesan Varatharajah
arXiv:2607. 23412v1 Announce Type: new Abstract: Electrocardiograms (ECGs) are widely used for cardiovascular risk prediction, yet models often fail to transfer across hospitals because of protocol, population, and measurement differences.
By Jie Lin, Weijie Sun, Sunil V. Kalmady, Anita Khalafbeigi, Abram Hindle, Padma Kaul, Russell Greiner
arXiv:2607. 05009v1 Announce Type: cross Abstract: Complete digital 12-lead electrocardiograms (ECGs) are essential for AI-enabled cardiovascular assessment, yet many clinical ECG records, particularly those digitized from ECG images, remain incomplete because of short display formats, incomplete waveform digitization, lead loss, or signal corruption.
By Xiaocheng Fang, Haoyu Wang, Jieyi Cai, Qinghao Zhao, Jun Li, Shanwei Zhang, Guangkun Nie, Yujie Xiao, Shun Huang, Jiarui Jin, Hongmin Liu, Guodong Wang, Shuohua Chen, Liming Lin, Shouling Wu, Hongyan Li, Shenda Hong
arXiv:2608. 07759v1 Announce Type: cross Abstract: Cardiovascular AI models can classify clean elec- trocardiogram (ECG) signals, but real wearable signals change because of motion, breathing, posture, sensor contact, and true clinical deterioration.
By Farouk Ganiyu Adewumi, Timothy Oladunni, Rochak Ghimire, Kosisochukwu Ogbuanya, Sanaa Reeves, Sandy Akoy
arXiv:2608. 05893v1 Announce Type: new Abstract: Electrocardiography (ECG) is one of the most widely used non-invasive tools for diagnosing cardiovascular disease, but transforming multi-lead ECG recordings into reliable clinical reports remains challenging.
By Akanta Das, Tasinul Islam Ahon, Ahmed Mahir Sultan Rumi, Md Mahbubur Rahman, Tausif Amim Shadly, Tanzima Hashem
arXiv:2606. 00107v1 Announce Type: cross Abstract: Electrocardiography (ECG) remains central to cardiovascular screening, yet interpretation remains largely manual and episodic.
By Nivedita Bijlani, Mauricio Villarroel
arXiv:2608. 12944v1 Announce Type: new Abstract: Electrocardiography (ECG), photoplethysmography (PPG), and phonocardiography (PCG) provide complementary views of the same cardiac cycle, yet existing cardiac foundation models are trained for a single sensing modality, leaving the shared physiology across sensors unexploited.
By Hamza Shafiq, Hung Manh Pham, Bin Zhu, Pan Zhou, Jun Hu, Aaqib Saeed
arXiv:2606. 02605v1 Announce Type: cross Abstract: Coronary artery stenosis is a common cardiovascular disease, with severe, untreated cases posing significant risks of heart attack.
By Nikola Cenikj, \"Ozg\"un Turgut, Alexander M\"uller, Alexander Steger, Jan Kehrer, Marcus Brugger, Daniel Rueckert, Philip M\"uller
arXiv:2608. 03597v1 Announce Type: new Abstract: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is associated with increased risks of stroke, heart failure, and mortality.
By Amirhossein Taleshinosrati, Yangyang Wang, Atitaya Phoemsuk, Vahid Abolghasemi, Naser Hossein Motlagh, Sadasivan Puthusserypady, Daniel Teichmann, Abdolrahman Peimankar
The paper introduces DCGCNet, a dual-codebook graph collaborative network that jointly reconstructs ECG signals and classifies atrial fibrillation. It incorporates a local‑global contrastive module for noise‑invariant feature learning and an adaptive codebook vector quantizer to prevent codebook collapse. The model achieves state‑of‑the‑art intra‑dataset performance and consistently attains AUC > 0.98 across seven cross‑dataset settings, even under realistic noisy conditions.
By Hongtao Li, Jia Wei, Guoyao Li, Yuchen Lei, Guangnian Ma, Jia Xiao, Yuanjun Lai, Shuzhen Lv, Xueqiang Ouyang