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Electrocardiogram (ECG) foundation models represent a paradigm shift from task-specific pipelines to generalizable architectures pre-trained on large-scale unlabeled waveform data. This survey presents a unified and deployment-aware review…

Signal Processing · Electrical Eng. & Systems 2026-04-06 Mudassir Hasan Khan , Ahmad Nayfeh , Mudassir Masood , Ali Ahmad Al-Shaikhi , Muhammad Mahboob Ur Rahman , Tareq Y. Al-Naffouri

Cardiovascular diseases (CVDs) represent significant global health challenges today, necessitating regular and reliable monitoring to enable early intervention. Phonocardiogram (PCG) signals present a promising non-invasive method for…

Signal Processing · Electrical Eng. & Systems 2026-05-25 Abdul Ahad Mamun , Utsab Saha , Md Hasibul Hasan , Shahed Ahmed , MD Jahin Alam

Heart-rate estimation is a fundamental feature of modern wearable devices. In this paper we propose a machine intelligent approach for heart-rate estimation from electrocardiogram (ECG) data collected using wearable devices. The novelty of…

Cardiopulmonary exercise testing (CPET) provides a comprehensive assessment of functional capacity by measuring key physiological variables including oxygen consumption ($VO_2$), carbon dioxide production ($VCO_2$), and pulmonary…

Machine Learning · Computer Science 2025-03-19 Muhammet Alkan , Gruschen Veldtman , Fani Deligianni

In this work we search for best practices in pre-processing of Electrocardiogram (ECG) signals in order to train better classifiers for the diagnosis of heart conditions. State of the art machine learning algorithms have achieved remarkable…

Signal Processing · Electrical Eng. & Systems 2025-05-16 Amir Salimi , Sunil Vasu Kalmady , Abram Hindle , Osmar Zaiane , Padma Kaul

Artificial intelligence (AI) has demonstrated significant potential in ECG analysis and cardiovascular disease assessment. Recently, foundation models have played a remarkable role in advancing medical AI. The development of an ECG…

Machine Learning · Computer Science 2025-08-05 Jun Li , Aaron Aguirre , Junior Moura , Che Liu , Lanhai Zhong , Chenxi Sun , Gari Clifford , Brandon Westover , Shenda Hong

This paper reports on an in-depth study of electrocardiogram (ECG) biometrics in everyday life. We collected ECG data from 20 people over a week, using a non-medical chest tracker. We evaluated user identification accuracy in several…

Human-Computer Interaction · Computer Science 2020-03-09 Florian Lehmann , Daniel Buschek

Background: Conventional electrocardiogram (ECG) analysis faces a persistent dichotomy: expert-driven features ensure interpretability but lack sensitivity to latent patterns, while deep learning offers high accuracy but functions as a…

Quantitative Methods · Quantitative Biology 2026-01-23 Deyun Zhang , Jun Li , Shijia Geng , Yue Wang , Shijie Chen , Sumei Fan , Qinghao Zha , Shenda Hong

Low left ventricular ejection fraction (LEF) frequently remains undetected until progression to symptomatic heart failure, underscoring the need for scalable screening strategies. Although artificial intelligence-enabled electrocardiography…

Machine Learning · Computer Science 2026-04-07 Ya Zhou , Tianxiang Hao , Ziyi Cai , Haojie Zhu , Kejun He , Jia Liu , Xiaohan Fan , Jing Yuan

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.…

The oscillations of the human heart rate are inherently complex and non-linear -- they are best described by mathematical chaos, and they present a challenge when applied to the practical domain of cardiovascular health monitoring in…

Machine Learning · Computer Science 2025-11-03 Berken Utku Demirel , Christian Holz

The purpose of the Evaluating ECG capturing using sound-card of PC/Laptop is provided portable and low cost ECG monitoring system using laptop and mobile phones. There is no need to interface micro controller or any other device to transmit…

Other Computer Science · Computer Science 2014-02-18 Bhavikkumar Patel , Dhrumil Shah

Foundation models are reshaping medical imaging, yet their application in echocardiography remains limited, hindered by a heavy reliance on private datasets that prevent reproducible comparison. Echocardiography poses unique challenges,…

Computer Vision and Pattern Recognition · Computer Science 2026-05-21 Darya Taratynova , Ahmed Aly , Numan Saeed , Mohammad Yaqub

Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, highlighting the critical need for efficient and accurate diagnostic tools. Electrocardiograms (ECGs) are indispensable in diagnosing various heart conditions;…

Signal Processing · Electrical Eng. & Systems 2025-04-24 Lei Kang , Xuanshuo Fu , Javier Vazquez-Corral , Ernest Valveny , Dimosthenis Karatzas

In this work we introduce the lag irreversibility function as a method to assess time-irreversibility in discrete time series. It quantifies the degree of time-asymmetry for the joint probability function of the state variable under study…

Data Analysis, Statistics and Probability · Physics 2023-08-01 Nazul Merino Negrete , Cesar Maldonado , Raúl Salgado-García

Pulmonary embolism is a leading cause of out of hospital cardiac arrest that requires fast diagnosis. While computed tomography pulmonary angiography is the standard diagnostic tool, it is not always accessible. Electrocardiography is an…

Computer Vision and Pattern Recognition · Computer Science 2025-07-29 Joao D. S. Marques , Arlindo L. Oliveira

Over the course of the past two decades, a substantial body of research has substantiated the viability of utilising cardiac signals as a biometric modality. This paper presents a novel approach for patient identification in healthcare…

Machine Learning · Computer Science 2024-11-27 Caterina Fuster-Barceló , Carmen Cámara , Pedro Peris-López

The electrocardiogram (ECG) is a key diagnostic tool in cardiovascular health. Single-lead ECG recording is integrated into both clinical-grade and consumer wearables. While self-supervised pretraining of foundation models on unlabeled ECGs…

Machine Learning · Computer Science 2025-12-03 Yuxuan Shu , Peter H. Charlton , Fahim Kawsar , Jussi Hernesniemi , Mohammad Malekzadeh

The electrocardiogram (ECG) is an inexpensive and widely available tool for cardiac assessment. Despite its standardized format and small file size, the high complexity and inter-individual variability of ECG signals (typically a…

Machine Learning · Computer Science 2025-08-04 Christopher Harvey , Sumaiya Shomaji , Zijun Yao , Amit Noheria

This work studies electrocardiogram (ECG) biometrics at large scale, directly addressing a critical gap in the literature: the scarcity of large-scale evaluations with operational metrics and protocols that enable meaningful standardization…

Machine Learning · Computer Science 2026-02-05 Scagnetto Arjuna