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
FOCAL is a framework that aligns fine-grained ECG waveform segments with specific report tags using Optimal Transport, addressing the lack of localized representation in prior methods. It introduces a semantic similarity matrix to mitigate false negatives when reports share diagnoses, and a coarse‑to‑fine enrichment pipeline that employs Large Language Models to recover missing waveform semantics while filtering hallucinations. Experiments on six datasets show FOCAL achieves state‑of‑the‑art zero‑shot prediction and linear probing performance.
By Haitao Li, Che Liu, Zhengyao Ding, Ziyi Liu, Wenqi Shao, Zhengxing Huang
arXiv:2607. 16323v1 Announce Type: cross Abstract: Electrocardiography (ECG) is an inexpensive, standard-of-care test for cardiac symptoms, but front-line triage often lacks immediate access to definitive imaging such as echocardiography (ECHO) or cardiac magnetic resonance (CMR).
By Alexander Selivanov, Friederike Jungmann, Jan Kehrer, Karl-Ludwig Laugwitz, Eimo Martens, Daniel Rueckert
arXiv:2606. 15284v1 Announce Type: cross Abstract: Photoplethysmography (PPG) plays a central role in wearable health monitoring and clinical decision support.
By Chenyang He, Xinyi Shao, Shun Huang, Bosong Huang, Daoqiang Zhang, Ming Jing, Cheng Ding
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:2607. 24553v1 Announce Type: cross Abstract: Standardized echocardiography conclusions provide meaningful supervision for learning ECG representations of echocardiography-derived cardiac findings.
By Xiaocheng Fang, Jieyi Cai, Guangkun Nie, Haoyu Wang, Jiarui Jin, Yujie Xiao, Bo Liu, Chenyang He, Qinghao Zhao, Gaofeng Cheng, Hongyan Li, Shenda Hong
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.
By Runze Ma, Haonan Lyu, Shunbo Jia, Qiang Yang, Muzi Xu, Jiaqi Zhang, Zihe Luo, Caizhi Liao
arXiv:2607. 22264v1 Announce Type: new Abstract: Autoregressive foundation models trained on tokenized electronic health records (EHRs) can support zero-shot clinical prediction, yet most operate on structured event codes alone, and do not incorporate multiple modalities in a principled way.
By Yuxuan Liu, Joshua Placidi, Jinpei Han, Alfred John Balston, Marek Rei, A. Aldo Faisal
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
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.
By Yakoub Bazi, Sarah Aljuhani, Mohamad M. Al Rahhal, Mansour Zuair, Naif Alajlan
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
arXiv:2606. 15038v1 Announce Type: new Abstract: Accurate time-to-event (TTE) prediction from multimodal clinical data remains challenging due to modality imbalance and distribution shift.
By Zhemin Zhang, Weijie Chen, David Le, Amara Tariq, Alex Wallace, Matthew Stib, Juan Maria Farina, Chadi Ayoub, Reza Arsanjani, Imon Banerjee