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An important paradigm in smart health is developing diagnosis tools and monitoring a patient's heart activity through processing Electrocardiogram (ECG) signals is a key example, sue to high mortality rate of heart-related disease. However,…

Signal Processing · Electrical Eng. & Systems 2018-11-02 Jiaming Chen , Ali Valehi , Abolfazl Razi

Deep learning has significantly advanced electrocardiogram (ECG) analysis, enabling automatic annotation, disease screening, and prognosis beyond traditional clinical capabilities. However, understanding these models remains a challenge,…

Machine Learning · Computer Science 2025-09-19 Ahcène Boubekki , Konstantinos Patlatzoglou , Joseph Barker , Fu Siong Ng , Antônio H. Ribeiro

Early detection of cardiovascular diseases is crucial for effective treatment and an electrocardiogram (ECG) is pivotal for diagnosis. The accuracy of Deep Learning based methods for ECG signal classification has progressed in recent years…

Signal Processing · Electrical Eng. & Systems 2022-04-12 Likith Reddy , Vivek Talwar , Shanmukh Alle , Raju. S. Bapi , U. Deva Priyakumar

Electrocardiogram (ECG) abnormalities are linked to cardiovascular diseases, but may also occur in other non-cardiovascular conditions such as mental, neurological, metabolic and infectious conditions. However, most of the recent success of…

Signal Processing · Electrical Eng. & Systems 2022-10-13 Weijie Sun , Sunil Vasu Kalmady , Amir Salimi , Nariman Sepehrvand , Eric Ly , Abram Hindle , Russell Greiner , Padma Kaul

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

We present ECG-Expert-QA, a comprehensive multimodal dataset for evaluating diagnostic capabilities in electrocardiogram (ECG) interpretation. It combines real-world clinical ECG data with systematically generated synthetic cases, covering…

Signal Processing · Electrical Eng. & Systems 2025-04-08 Xu Wang , Jiaju Kang , Puyu Han , Yubao Zhao , Qian Liu , Liwenfei He , Lingqiong Zhang , Lingyun Dai , Yongcheng Wang , Jie Tao

Cardiovascular diseases (CVDs) are a group of heart and blood vessel disorders that is one of the most serious dangers to human health, and the number of such patients is still growing. Early and accurate detection plays a key role in…

Computer Vision and Pattern Recognition · Computer Science 2026-02-17 Khiem H. Le , Hieu H. Pham , Thao BT. Nguyen , Tu A. Nguyen , Tien N. Thanh , Cuong D. Do

Electrocardiogram (ECG) signal is a common and powerful tool to study heart function and diagnose several abnormal arrhythmias. While there have been remarkable improvements in cardiac arrhythmia classification methods, they still cannot…

Quantitative Methods · Quantitative Biology 2019-03-14 Sajad Mousavi , Fatemeh Afghah , U. Rajendra Acharya

Electrocardiograms (ECGs) are an established technique to screen for abnormal cardiac signals. Recent work has established that it is possible to detect arrhythmia directly from the ECG signal using deep learning algorithms. While a few…

Signal Processing · Electrical Eng. & Systems 2024-11-28 Hyewon Jeong , Suyeol Yun , Hammaad Adam

Recent advances in large language models (LLMs) have enabled the development of multimodal medical AI. While models such as MedGemini achieve high accuracy on VQA tasks like USMLE MM, their performance on ECG based tasks remains limited,…

Machine Learning · Computer Science 2026-02-12 Junichiro Takahashi , Masataka Sato , Satoshi Kodeta , Norihiko Takeda

Electrocardiogram (ECG) detection and delineation are key steps for numerous tasks in clinical practice, as ECG is the most performed non-invasive test for assessing cardiac condition. State-of-the-art algorithms employ digital signal…

Machine Learning · Computer Science 2020-05-12 Guillermo Jimenez-Perez , Alejandro Alcaine , Oscar Camara

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

In the process of patient diagnosis, non-invasive measurements are widely used due to their low risks and quick results. Electrocardiogram (ECG), as a non-invasive method to collect heart activities, is used to diagnose cardiac conditions.…

Machine Learning · Computer Science 2025-12-11 Yuhao Xu , Jiaying Lu , Sirui Ding , Defu Cao , Xiao Hu , Carl Yang

Electrocardiogram is a useful diagnostic signal that can detect cardiac abnormalities by measuring the electrical activity generated by the heart. Due to its rapid, non-invasive, and richly informative characteristics, ECG has many emerging…

Machine Learning · Computer Science 2025-12-09 Hanhui Deng , Xinglin Li , Jie Luo , Di Wu

Accurate ECG interpretation is vital, yet complex cardiac data and "black-box" AI models limit clinical utility. Inspired by Transformer architectures' success in NLP for understanding sequential data, we frame ECG as the heart's unique…

Signal Processing · Electrical Eng. & Systems 2025-06-09 Berat Kutay Uğraş , Ömer Nezih Gerek , İbrahim Talha Saygı

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

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

Beat-level Electrocardiography (ECG) arrhythmia detection aims to assign an arrhythmia class to each beat in a recording, yet many existing systems treat beats as isolated local instances. This is limiting because beat labels often depend…

Machine Learning · Computer Science 2026-05-19 Jiahui Li , Ruili Fang , Zishuai Liu , WenZhan Song , Jin Lu , Fei Dou

The 12-lead electrocardiogram (ECG) is a commonly used tool for detecting cardiac abnormalities such as atrial fibrillation, blocks, and irregular complexes. For the PhysioNet/CinC 2020 Challenge, we built an algorithm using gradient…

Signal Processing · Electrical Eng. & Systems 2020-10-27 Alexander William Wong , Weijie Sun , Sunil Vasu Kalmady , Padma Kaul , Abram Hindle

Electrocardiogram (ECG)-based models have achieved strong performance in diagnostic tasks, yet they remain limited in modeling how cardiac dynamics evolve under external interventions. In particular, existing approaches focus primarily on…

Artificial Intelligence · Computer Science 2026-05-19 Zhikang Chen , Yue Wang , Sen Cui , Yu Zhang , Changshui Zhang , Tianling Ren , Tingting Zhu