arXiv:2605. 31249v2 Announce Type: replace-cross Abstract: Electrocardiography (ECG) is a cornerstone of cardiac assessment, making the learning of informative ECG representations fundamental to tasks ranging from disease diagnosis to clinical report generation.
By Bosong Huang, Panzhen Zhao, Zengxiang Li, Patricia Lee, Wei Jin, Alan Wee-Chung Liew, Ming Jin, Shirui Pan
The study demonstrates that contrastive pre‑training of ECG representations using cardiac magnetic resonance (CMR) imaging data can enhance ECG‑based detection of Chagas disease. By aligning an ECG encoder with a CMR embedding space from 63,193 paired UK Biobank examinations, the authors achieved higher AUROC and sensitivity metrics on CODE‑15%, SaMi‑Trop, and PhysioNet/CinC 2025 Challenge datasets compared to an unaligned baseline. The approach shows that imaging‑supervised ECG representations generalize across different populations and resource‑constrained settings.
By Laura Alvarez-Florez, Daniel Uyterlinde, Samuel Ruip\'erez-Campillo, Lukas P. A. Arts, Folkert W. Asselbergs, Fleur V. Y. Tjong
arXiv:2605. 29977v2 Announce Type: replace-cross Abstract: High-fidelity ECG interpretation is increasingly reliant on massive foundation models, yet their deployment in clinical edge-care remains hindered by extreme computational demands.
By Dang Nguyen Hong, Nhi Ngoc-Yen Nguyen, Huy-Hieu Pham
arXiv:2605. 00647v2 Announce Type: replace Abstract: Automated pediatric electrocardiogram (ECG) interpretation remains challenging because developmental differences in heart rate, intervals, and waveforms limit the transferability of models trained mainly on adult data, while expert-labeled pediatric ECG cohorts are scarce.
By Xinran Liu, Yuwen Li, Hongxiang Gao, Heyang Xu, Jianqing Li, Zongmin Wang, Chengyu Liu
arXiv:2607. 10784v1 Announce Type: cross Abstract: Deploying deep learning models for automated electrocardiogram classification on resource-constrained wearable devices remains challenging due to high computational costs.
By Yi Zhao, Jiajun Gao, Chenyang Xu, Yuxi Zhou, Hao Wang
arXiv:2607. 14613v1 Announce Type: cross Abstract: Long-tailed label distributions reduce the reliability of deep learning for electrocardiogram (ECG) arrhythmia diagnosis, particularly for clinically important but rare abnormalities.
By Jin Dai, Qiuzhen Zhang, Chenyun Dai, Danmei Lan, Can Han
arXiv:2607. 15928v1 Announce Type: new Abstract: Adult and pediatric electrocardiogram (ECG) interpretation relies on age-sensitive criteria, and models pretrained mainly on adult ECGs often transfer poorly to pediatric populations when pediatric labels are scarce.
By Xinran Liu, Yuwen Li, Hongxiang Gao, Heyang Xu, Jianqing Li, Zongmin Wang, Chengyu Liu
arXiv:2608. 09053v1 Announce Type: cross Abstract: Cardiologists interpret electrocardiograms by localizing waveform components, measuring rhythm and interval patterns, and translating these structured observations into diagnostic evidence.
By Hongxiang Gao, He-yang Xu, Yuwen Li, Minghui Zhao, Zhipeng Cai, Xingyao Wang, Chenxi Yang, Jianqing Li, Chengyu Liu
The paper introduces Graph-CMMC, a graph-based pseudo‑multimodal contrastive learning framework for 12‑lead ECG representations. It transforms ECG waveforms into Gramian Angular Difference Field (GADF) images to create complementary views, then aligns these views while modeling inter‑lead dependencies with a graph module. Experiments on coronary artery occlusion classification show that Graph-CMMC performs competitively with supervised methods, highlighting the value of GADF representations and explicit graph modeling for robust ECG analysis.
By Mengyu Wang, Kozo Okada, Takafumi Goto, Natsuko Jinba, Hiroki Yamaya, Kiyoshi Hibi, Tomoki Hamagami
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
Cardiologists interpret electrocardiograms by localizing waveform components, measuring rhythm and interval patterns, and translating these structured observations into diagnostic evidence. Whether this expert reading process can serve as an effective prior for ECG agents remains unclear.
arXiv:2608. 19297v1 Announce Type: new Abstract: While multimodal large language models (MLLMs) excel in medical applications, most of them favor static images or short-term signals.
By Yihan Xie, Hanwen Cui, Runze Ye, Juekai Lin, Haoyang Wang, Jinhao Mao, Bo Zhang, Wenqiao Zhang, Xiaogang Guo, Jun Xiao, Lei Zhang