The paper introduces representative‑morphology heatmaps, a deterministic ECG‑to‑image representation that averages the five beats closest to the block mean within each ten‑beat block, producing either a conventional trace or a dense cardiac‑time‑by‑lead heatmap. Experiments on PTB, ECG‑ID, and MIMIC‑IV‑ECG‑DEMO show that heatmaps consistently improve verification and identification performance across 15 compact models, reducing EER by an average of 9.59 percentage points and increasing Rank‑1 by 24.69 points. The study also demonstrates that ImageNet initialization benefits multilead datasets, that performance does not scale monotonically with model size, and that useful channel combinations vary by cohort and biometric task.
Electrocardiography (ECG) contains subject-specific morphology that supports biometric recognition, yet image-based performance depends on how the waveform is rendered. We introduce representative-mor...
arXiv:2607. 27404v1 Announce Type: new Abstract: Existing benchmarks for electrocardiogram foundation models primarily evaluate downstream predictive performance, providing limited insight into whether their internal representations can be faithfully decomposed, clinically interpreted, or reproduced across independent analyses.
arXiv:2609.21755v1 Announce Type: new Abstract: Emergency department (ED) decision-making relies on heterogeneous clinical information, including patient history, vital signs, laboratory results, and...
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.
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:2609.22631v1 Announce Type: new Abstract: Accurate automated interpretation of electrocardio- grams (ECGs) is essential for early detection of cardiac condi- tions such as myocardial infarction...
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 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. 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.
arXiv:2607. 07683v1 Announce Type: new Abstract: Electrocardiography (ECG) is one of the most widely used tests for diagnosing cardiovascular disease.
arXiv:2607. 09749v1 Announce Type: cross Abstract: Foundation models have recently emerged as a powerful paradigm for learning transferable representations from large scale biomedical data, yet existing approaches for physiological waveforms primarily optimize reconstruction or forecasting objectives that do not explicitly preserve clinically meaningful waveform morphology.
Multimodal large language models (LLMs) are increasingly adopted to interpret 12-lead ECG images, though the interpretations often lack validation. However, ECG image understanding significantly differs from general images as it depends on precise waveform morphology, lead relationships and accurate interval measurements.