On the role of the tokenizer in ECG transformer models

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%.

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• llms
• nlp