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%.
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.
BEAT-Net is a supervised biomimetic framework for ECG diagnosis that incorporates QRS-centered tokenization and a hierarchical architecture mirroring a cardiologist’s workflow. It processes heartbeat sequences through morphological, spatial, temporal, and transformer-based stages, achieving an AUC of 0.924 on large benchmarks while using only 0.7 million parameters. The model outperforms the 39.5‑million‑parameter HeartLang foundation model on morphological form classification and demonstrates superior cross‑dataset generalization with only 35% of the training data.
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.
The study investigates ECG biometrics by training a Siamese ResNet with late multi-lead fusion on a large dataset from cardiopulmonary exercise tests. It evaluates the model under realistic conditions, including exercise-induced stress and cross-session variability, achieving an intra-session rest-to-peak EER of 1.7% and a state‑of‑the‑art 3.9% on the CYBHi dataset. The results demonstrate that an intrinsic cardiac signature remains robust to physiological and temporal drift.
ECGWmark is a fully convolutional, quantization‑free deep watermarking framework designed for electrocardiogram (ECG) signals. It embeds patient metadata into ECGs while preserving high‑frequency diagnostic details by operating in a continuous latent space and using a localized frame‑level mechanism to resist severe temporal desynchronization. A differentiable Physiological Loss guided by a clinical classifier helps maintain diagnostic semantics, achieving over 90% channel‑bit extraction accuracy under circular phase shifts and demonstrating mixed effects on class‑level diagnostic metrics in the MIT‑BIH benchmark.
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.
arXiv:2610.33964v1 Announce Type: cross Abstract: AI foundation models play a pivotal role in advancing heart disease diagnosis from electrocardiogram (ECG) data, particularly for rare diseases where...
The paper presents a hybrid CNN–state‑space–attention backbone designed for 12‑lead ECG classification, combining early waveform tokenization, mixed temporal dynamics modeling, and late global attention. It introduces an ECG‑oriented Joint‑Embedding Predictive Pretraining (JEPA) that samples span masks at latent resolution and predicts clean latent targets via a momentum encoder, avoiding waveform reconstruction. Experiments on CPSC2018, Chapman‑Shaoxing, and PTB‑XL, with pretraining on ~350K unlabeled CODE‑15 recordings, demonstrate strong supervised baselines and improved transfer, especially in low‑label scenarios and with LoRA adaptation.
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.
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.