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The HeartBert model is introduced with three primary objectives: reducing the need for labeled data, minimizing computational resources, and simultaneously improving performance in machine learning systems that analyze Electrocardiogram…

Signal Processing · Electrical Eng. & Systems 2026-04-29 Saedeh Tahery , Fatemeh Hamid Akhlaghi , Termeh Amirsoleimani

In the medical field, current ECG signal analysis approaches rely on supervised deep neural networks trained for specific tasks that require substantial amounts of labeled data. However, our paper introduces ECGBERT, a self-supervised…

Signal Processing · Electrical Eng. & Systems 2023-06-13 Seokmin Choi , Sajad Mousavi , Phillip Si , Haben G. Yhdego , Fatemeh Khadem , Fatemeh Afghah

Electrocardiogram (ECG) is essential for the clinical diagnosis of arrhythmias and other heart diseases, but deep learning methods based on ECG often face limitations due to the need for high-quality annotations. Although previous ECG…

Machine Learning · Computer Science 2025-02-18 Jiarui Jin , Haoyu Wang , Hongyan Li , Jun Li , Jiahui Pan , Shenda Hong

A language is made up of an infinite/finite number of sentences, which in turn is composed of a number of words. The Electrocardiogram (ECG) is the most popular noninvasive medical tool for studying heart function and diagnosing various…

Signal Processing · Electrical Eng. & Systems 2024-07-17 Prapti Ganguly , Wazib Ansar , Amlan Chakrabarti

A language is constructed of a finite/infinite set of sentences composing of words. Similar to natural languages, Electrocardiogram (ECG) signal, the most common noninvasive tool to study the functionality of the heart and diagnose several…

Signal Processing · Electrical Eng. & Systems 2020-06-17 Sajad Mousavi , Fatemeh Afghah , Fatemeh Khadem , U. Rajendra Acharya

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

Electrocardiogram (ECG) arrhythmia classification remains challenging due to signal variability, noise, limited labeled data, and the difficulty in achieving both accuracy and efficiency in models. While self-supervised learning reduces…

Machine Learning · Computer Science 2026-05-14 Mahsa Gazeran , Sayvan Soleymanbaigi , Fatemeh Daneshfar , Amjad Seyedi , Fardin Akhlaghian Tab

Although deep learning has advanced automated electrocardiogram (ECG) diagnosis, prevalent supervised methods typically treat recordings as undifferentiated one-dimensional (1D) signals or two-dimensional (2D) images. This formulation…

Machine Learning · Computer Science 2026-01-13 Runze Ma , Caizhi Liao

Electrocardiogram (ECG) interpretation requires specialized expertise, often involving synthesizing insights from ECG signals with complex clinical queries posed in natural language. The scarcity of labeled ECG data coupled with the diverse…

Machine Learning · Computer Science 2025-05-09 Jialu Tang , Tong Xia , Yuan Lu , Cecilia Mascolo , Aaqib Saeed

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

Recent advances have increasingly applied large language models (LLMs) to electrocardiogram (ECG) interpretation, giving rise to Electrocardiogram-Language Models (ELMs). Conditioned on an ECG and a textual query, an ELM autoregressively…

Artificial Intelligence · Computer Science 2025-05-27 William Han , Chaojing Duan , Zhepeng Cen , Yihang Yao , Xiaoyu Song , Atharva Mhaskar , Dylan Leong , Michael A. Rosenberg , Emerson Liu , Ding Zhao

Electrocardiogram (ECG) is an essential signal in monitoring human heart activities. Researchers have achieved promising results in leveraging ECGs in clinical applications with deep learning models. However, the mainstream deep learning…

Machine Learning · Computer Science 2023-10-06 Han Yu , Huiyuan Yang , Akane Sano

Electrocardiogram (ECG) synthesis is the area of research focused on generating realistic synthetic ECG signals for medical use without concerns over annotation costs or clinical data privacy restrictions. Traditional ECG generation models…

Computation and Language · Computer Science 2023-03-17 Hyunseung Chung , Jiho Kim , Joon-myoung Kwon , Ki-Hyun Jeon , Min Sung Lee , Edward Choi

Automated interpretation of electrocardiograms (ECG) has garnered significant attention with the advancements in machine learning methodologies. Despite the growing interest, most current studies focus solely on classification or regression…

Signal Processing · Electrical Eng. & Systems 2023-11-07 Jielin Qiu , Jiacheng Zhu , Shiqi Liu , William Han , Jingqi Zhang , Chaojing Duan , Michael Rosenberg , Emerson Liu , Douglas Weber , Ding Zhao

Electrocardiogram (ECG) signals, profiling the electrical activities of the heart, are used for a plethora of diagnostic applications. However, ECG systems require multiple leads or channels of signals to capture the complete view of the…

Signal Processing · Electrical Eng. & Systems 2024-05-31 Nabil Ibtehaz , Masood Mortazavi

Electrocardiogram (ECG) monitoring is one of the most powerful technique of cardiovascular disease (CVD) early identification, and the introduction of intelligent wearable ECG devices has enabled daily monitoring. However, due to the need…

Signal Processing · Electrical Eng. & Systems 2024-03-08 Hongxiang Gao , Xingyao Wang , Zhenghua Chen , Min Wu , Jianqing Li , Chengyu Liu

Large Language Models (LLMs) have demonstrated exceptional versatility across domains, including applications to electrocardiograms (ECGs). A growing body of work focuses on generating text from multi-channeled ECG signals and corresponding…

Computation and Language · Computer Science 2025-07-31 William Han , Chaojing Duan , Michael A. Rosenberg , Emerson Liu , Ding Zhao

Electrocardiograms (ECGs) are widely used non-invasive measurements of cardiac activity and play a central role in clinical diagnosis. Recent multimodal approaches align ECG signals with clinical reports to incorporate diagnostic semantics,…

The diagnostic value of electrocardiogram (ECG) lies in its dynamic characteristics, ranging from rhythm fluctuations to subtle waveform deformations that evolve across time and frequency domains. However, supervised ECG models tend to…

Signal Processing · Electrical Eng. & Systems 2025-07-29 He-Yang Xu , Hongxiang Gao , Yuwen Li , Xiu-Shen Wei , Chengyu Liu

Electrocardiography (ECG) is the clinical gold standard for cardiovascular disease (CVD) assessment, yet continuous monitoring is constrained by the need for dedicated hardware and trained personnel. Photoplethysmography (PPG) is ubiquitous…

Machine Learning · Computer Science 2026-01-22 Xiaocheng Fang , Jiarui Jin , Haoyu Wang , Che Liu , Jieyi Cai , Yujie Xiao , Guangkun Nie , Bo Liu , Shun Huang , Hongyan Li , Shenda Hong
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