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Electrocardiography (ECG) is a non-invasive tool for predicting cardiovascular diseases (CVDs). Current ECG-based diagnosis systems show promising performance owing to the rapid development of deep learning techniques. However, the label…

Signal Processing · Electrical Eng. & Systems 2023-06-21 Rushuang Zhou , Lei Lu , Zijun Liu , Ting Xiang , Zhen Liang , David A. Clifton , Yining Dong , Yuan-Ting Zhang

Electrocardiography (ECG) plays a central role in cardiovascular diagnostics, yet existing automated approaches often struggle to generalize across clinical tasks and offer limited support for open-ended reasoning. We present HeartLLM, a…

Artificial Intelligence · Computer Science 2026-01-27 Jinning Yang , Wenjie Sun , Wen Shi

Objective: Electrocardiograms (ECGs) play a crucial role in diagnosing heart conditions; however, the effectiveness of artificial intelligence (AI)-based ECG analysis is often hindered by the limited availability of labeled data.…

Automated classification of electrocardiogram (ECG) signals is a useful tool for diagnosing and monitoring cardiovascular diseases. This study compares three traditional machine learning algorithms (Decision Tree Classifier, Random Forest…

Machine Learning · Computer Science 2026-04-20 Saloni Garg , Ukant Jadia , Amit Sagtani , Kamal Kant Hiran

Electrocardiogram (ECG) captures the heart's electrical signals, offering valuable information for diagnosing cardiac conditions. However, the scarcity of labeled data makes it challenging to fully leverage supervised learning in the…

Machine Learning · Computer Science 2026-04-13 Sehun Kim

Electrocardiogram (ECG) is a widely used reliable, non-invasive approach for cardiovascular disease diagnosis. With the rapid growth of ECG examinations and the insufficiency of cardiologists, accurate and automatic diagnosis of ECG signals…

Machine Learning · Computer Science 2020-10-21 Dongdong Zhang , Xiaohui Yuan , Ping Zhang

While Multimodal Large Language Models (MLLMs) show promising performance in automated electrocardiogram interpretation, it remains unclear whether they genuinely perform actual step-by-step reasoning or just rely on superficial visual…

Machine Learning · Computer Science 2026-03-17 Jungwoo Oh , Hyunseung Chung , Junhee Lee , Min-Gyu Kim , Hangyul Yoon , Ki Seong Lee , Youngchae Lee , Muhan Yeo , Edward Choi

The multi-lead electrocardiogram (ECG) stands as a cornerstone of cardiac diagnosis. Recent strides in electrocardiogram self-supervised learning (eSSL) have brightened prospects for enhancing representation learning without relying on…

Machine Learning · Computer Science 2026-01-01 Tan Pan , Yixuan Sun , Chen Jiang , Qiong Gao , Rui Sun , Xingmeng Zhang , Zhenqi Yang , Limei Han , Yixiu Liang , Yuan Cheng , Kaiyu Guo

The 12-lead electrocardiogram (ECG) is a quasi-periodic, multi-channel signal with diagnostic content spanning timescales from millisecond waveform morphology to multi-second rhythm dynamics. Existing ECG representation learning relies on…

Computational Engineering, Finance, and Science · Computer Science 2026-05-26 Lei Xu , Fahad Sohrab , Mehmet Yamac , Merja Heinaniemi , Moncef Gabbouj

Zero-shot learning (ZL) is crucial for tasks involving unseen categories, such as natural language processing, image classification, and cross-lingual transfer.Current applications often fail to accurately infer and handle new relations…

Artificial Intelligence · Computer Science 2025-04-08 Bingchen Liu , Jingchen Li , Yuanyuan Fang , Xin Li

Multimodal large language models (MLLMs) are increasingly being applied in the medical field, particularly in medical imaging. However, developing MLLMs for ECG signals, which are crucial in clinical settings, has been a significant…

Computation and Language · Computer Science 2024-11-25 Haitao Li , Ziyu Li , Yiheng Mao , Ziyi Liu , Zhoujian Sun , Zhengxing Huang

The rapid advancements in Artificial Intelligence, specifically Machine Learning (ML) and Deep Learning (DL), have opened new prospects in medical sciences for improved diagnosis, prognosis, and treatment of severe health conditions. This…

Machine Learning · Computer Science 2024-12-11 Atit Pokharel , Shashank Dahal , Pratik Sapkota , Bhupendra Bimal Chhetri

Electrocardiography (ECG) serves as an indispensable diagnostic tool in clinical practice, yet existing multimodal large language models (MLLMs) remain unreliable for ECG interpretation, often producing plausible but clinically incorrect…

Computation and Language · Computer Science 2026-05-26 Jiarui Jin , Haoyu Wang , Xingliang Wu , Xiaocheng Fang , Xiang Lan , Zihan Wang , Deyun Zhang , Bo Liu , Yingying Zhang , Xian Wu , Hongyan Li , Shenda Hong

The adoption of deep learning-based healthcare decision support systems such as the detection of irregular cardiac rhythm is hindered by challenges such as lack of access to quality data and the high costs associated with the collection and…

Machine Learning · Computer Science 2022-05-31 Sagnik Dakshit , Barbara Mukami Maweu , Sristi Dakshit , Balakrishnan Prabhakaran

Cardiovascular diseases (CVD) can be diagnosed using various diagnostic modalities. The electrocardiogram (ECG) is a cost-effective and widely available diagnostic aid that provides functional information of the heart. However, its ability…

Signal Processing · Electrical Eng. & Systems 2025-01-09 Özgün Turgut , Philip Müller , Paul Hager , Suprosanna Shit , Sophie Starck , Martin J. Menten , Eimo Martens , Daniel Rueckert

Accurate interpretation of electrocardiogram (ECG) remains challenging due to the scarcity of labeled data and the high cost of expert annotation. Self-supervised learning (SSL) offers a promising solution by enabling models to learn…

Artificial Intelligence · Computer Science 2026-04-14 Zehao Qin , Xiaojian Lin , Ping Zhang , Hongliang Wu , Xinkang Wang , Guangling Liu , Bo Chen , Wenming Yang , Guijin Wang

The label scarcity problem is the main challenge that hinders the wide application of deep learning systems in automatic cardiovascular diseases (CVDs) detection using electrocardiography (ECG). Tuning pre-trained models alleviates this…

Machine Learning · Computer Science 2024-11-18 Rushuang Zhou , Lei Clifton , Zijun Liu , Kannie W. Y. Chan , David A. Clifton , Yuan-Ting Zhang , Yining Dong

The electrocardiogram (ECG) is a fundamental tool in cardiovascular diagnostics due to its powerful and non-invasive nature. One of the most critical usages is to determine whether more detailed examinations are necessary, with users…

Artificial Intelligence · Computer Science 2025-04-15 Junichiro Takahashi , JingChuan Guan , Masataka Sato , Kaito Baba , Kazuto Haruguchi , Daichi Nagashima , Satoshi Kodera , Norihiko Takeda

Leveraging Large Language Models (LLMs) with Retrieval-Augmented Generation (RAG) for analyzing medical data, particularly Electrocardiogram (ECG), offers high accuracy and convenience. However, generating reliable, evidence-based results…

Machine Learning · Computer Science 2025-05-08 Jin Yu , JaeHo Park , TaeJun Park , Gyurin Kim , JiHyun Lee , Min Sung Lee , Joon-myoung Kwon , Jeong Min Son , Yong-Yeon Jo

The success of Multimodal Large Language Models (MLLMs) in the medical auxiliary field shows great potential, allowing patients to engage in conversations using physiological signal data. However, general MLLMs perform poorly in cardiac…

Signal Processing · Electrical Eng. & Systems 2025-04-17 Yubao Zhao , Jiaju Kang , Tian Zhang , Puyu Han , Tong Chen