Deep learning strategy for cost-effective, comprehensive cardiac screening from ECG alone, by transferring domain-specific structural information from cardiac magnetic resonance (CMR) imaging into ECG representations. Combines multimodal contrastive learning with masked data modelling during pretraining on paired ECG-CMR data, then uses only ECG at inference. On 40,044 UK Biobank subjects, the multimodal pretraining improved subject-specific CVD risk prediction by up to 12.19% and cardiac phenotype prediction by up to 27.59% versus ECG-only baselines, with learned ECG representations shown to incorporate information from CMR regions of interest.

Multi-label 12-lead ECG diagnosis model submitted to the PhysioNet/Computing in Cardiology Challenge 2020, built on the same residual 1D CNN family as the authors' earlier Nature Communications model but retrained and validated across the challenge's large, multi-institutional pooled training set (CPSC2018, China 12-Lead ECG Database, St. Petersburg INCART, PTB and PTB-XL, and the Georgia 12-Lead ECG Database). The model uses an unsupervised pretraining stage -- predicting unseen samples of a partially masked ECG signal -- before supervised fine-tuning to jointly detect nine diagnostic classes (atrial fibrillation, first-degree AV block, left and right bundle branch block, normal rhythm, premature atrial/ventricular contraction, and ST-segment depression/elevation). The 2020 Challenge was notable for requiring every team to publicly release both their trained model weights and full training code, making this one of relatively few 12-lead ECG classifiers with an end-to-end reproducible public pipeline.

LoRA-adapted domain-specialized cardiology text embedding model built on BioLinkBERT (340M parameters), identified as the top performer among 10 encoder- and decoder-style transformer architectures benchmarked head-to-head for cardiology semantic retrieval. LoRA fine-tuning on ~150,000 cardiology-textbook-derived sentence pairs raised its cardiology semantic-separation score from 0.033 (zero-shot) to 0.510, the highest of any evaluated architecture (including decoder models up to 10x larger), while remaining Pareto-optimal for the separation/throughput trade-off at 143.5 embeddings/sec and a 1.51GB memory footprint.

Supervised EfficientNetV2-based 12-lead ECG model trained on over 1 million ECGs from the Montreal Heart Institute to predict 77 cardiac conditions derived from American Heart Association recommendations, plus fine-tuned digital-biomarker heads for reduced LVEF, 5-year atrial-fibrillation risk, and long-QT-syndrome (LQTS) detection/genotyping. Validated on 881,403 ECGs across 11 geographically diverse cohorts (4 public, 7 private health systems), achieving AUROCs above 0.98 for the 77-condition interpretation task while being 60x smaller and 29x faster at inference than its self-supervised DeepECG-SSL counterpart, with up to 9.7x lower CO2 emissions on equivalent tasks.

First multimodal LLM to unify ECG time series, 12-lead ECG images, and text for grounded, clinician-aligned ECG interpretation. A dual-encoder framework (ECG-CoCa time-series encoder plus a LLaVA-style vision-language backbone) extracts complementary time-series and image features with cross-modal alignment, trained on knowledge-guided instruction data (ECG-Grounding, linking diagnoses to measurable waveform parameters such as QRS/PR intervals) plus the 1.15-million-conversation ECG-Instruct corpus. Introduces the "Grounded ECG Understanding" benchmark and improves predictive performance, explainability, and grounding over prior ECG-language models such as ECG-Chat and PULSE.

Multi-scale ECG-language pretraining model that aligns 12-lead ECG signals with clinical text reports at three granularities -- token, beat, and rhythm level -- rather than a single global embedding. First fine-tunes a cardiology-specialized text encoder to improve understanding of ECG report language, then trains an ECG-FM-initialized ECG encoder against it with hierarchical contrastive supervision. Outperforms prior ECG-language and self-supervised baselines including MERL, ST-MEM, and HeartLang on zero-shot classification, linear probing, and ECG report generation, with especially large gains at low label fractions. Developed at the University of Hong Kong (HKU-MedAI).

LoRA-adapted domain-specialized cardiology text embedding model built on MPNet-base (109M parameters), identified as Pareto-optimal for balanced accuracy/throughput deployment among 10 encoder- and decoder-style architectures benchmarked for cardiology semantic retrieval. LoRA fine-tuning on ~150,000 cardiology-textbook-derived sentence pairs raised its cardiology semantic-separation score from 0.175 (zero-shot) to 0.386, while delivering 228.8 embeddings/sec at a sub-1GB (0.73GB) memory footprint, making it suitable for consumer-GPU and general-purpose medical NLP deployment where full BioLinkBERT-level accuracy is not required.

Multimodal cardiac MRI foundation model that fuses 3D+T cine CMR (short-axis and long-axis views) with tabular patient health records (demographics, metabolic, and lifestyle factors) from 42,000 UK Biobank participants. Two-stage self-supervised pretraining -- masked-image reconstruction, then imaging-tabular contrastive alignment -- produces representations that transfer to whole-heart segmentation, cardiac phenotype/physiological-feature regression, and cardiac/metabolic disease classification within one unified framework.

ECG foundation model built on the xLSTM (extended LSTM) architecture: a bidirectional stack of nine alternating scalar- and matrix-memory LSTM blocks that scales linearly with sequence length, unlike the quadratic cost of transformer-based ECG models. Pretrained with SimDINOv2, a coding-rate-regularized self-distillation (DINO) objective adapted from computer vision to ECG time series, on roughly 8 million recordings from CODE, INCART, and Chapman-Shaoxing-Ningbo. Introduced alongside BenchECG, a standardized 8-dataset/10-task benchmark, on which xECG achieves the best average rank of any publicly available ECG foundation model, with particular strength on long-context tasks (30-minute ambulatory arrhythmia classification, multi-hour sleep-apnea segmentation) where transformer-based models are computationally limited.

Single-lead ECG foundation model pretrained with clinically-guided contrastive learning: rather than relying on hand-labeled tasks, it uses routinely collected clinical metadata and risk scores from 161,000 MIMIC-IV-ECG patients as the training signal. Released in three sizes - Small (~448K parameters), Medium (30.7M), and Large (~296M) - and benchmarked against other ECG foundation models like ECGFounder across 18 tasks and 7 held-out datasets. Developed by Nokia Bell Labs.

Vision-language model that jointly embeds a cardiac MRI study, treated as video, with the impression section of its clinical report. Combines a video encoder over cine/LGE frame sequences with a Bio+ClinicalBERT text encoder using CLIP-style contrastive training. Supports zero-shot and few-shot classification of cardiomyopathies, amyloidosis, and LV dysfunction, plus image/report retrieval and structured report drafting. Trained on a private, single-institution corpus of roughly 11,000-14,000 CMR study-report pairs from Cleveland Clinic and Case Western.

Domain-specialized text embedding model for clinical cardiology, built by fine-tuning the Qwen3-Embedding-8B language model with LoRA adapters via contrastive learning on cardiology textbook sentences. Reaches 99.60% top-1 accuracy on cardiology-specific semantic retrieval, nearly 16 points above the prior MedTE baseline. The training corpus draws on roughly 150,000 sentences from seven copyrighted textbooks and is not public, though the resulting model weights are freely downloadable.

Foundation model for cine cardiac MRI, self-supervised via masked autoencoding on nearly 75,000 UK Biobank scans. Uses a Vision Transformer with a convolutional stem, unified across long-axis and short-axis views. Fine-tuned checkpoints are released for ventricle and myocardium segmentation, ejection-fraction regression, cardiovascular disease classification, and landmark localization across several public benchmark datasets (ACDC, M&Ms, M&Ms2, EMIDEC, and others).

Reconstructs digital 12-lead ECG waveforms from scanned or photographed paper printouts, using an nnU-Net image segmentation model to trace the signal pixels followed by a Hough-transform-based reconstruction pipeline. This is a digitization tool rather than a diagnostic model - it recovers a usable signal from a paper record rather than producing a diagnosis. Won the PhysioNet/Computing in Cardiology Challenge 2024; developed by a team at the University of Oxford.

Open ECG foundation model with 90.9M parameters, built on a wav2vec 2.0-style Transformer and pretrained on 1.25-1.5 million ECGs using a hybrid contrastive-and-generative self-supervised objective. Base pretrained weights and MIMIC-IV-ECG-finetuned downstream checkpoints are both released. Developed on the fairseq_signals framework by the University of Toronto / Vector Institute's Wang lab.

Large-scale ECG foundation model pretrained on more than 10 million recordings spanning 150 label categories from the Harvard-Emory ECG Database. Built as a general-purpose feature extractor that can be fine-tuned for arrhythmia detection, demographic inference, and event prediction, and externally validated on MIMIC-IV-ECG and PTB-XL. Also used as the pretrained backbone for downstream clinical models such as Pocket-K, a hyperkalemia detector. Developed by Peking University and Harvard-Emory researchers.

Echocardiography foundation model trained with a latent-predictive (V-JEPA2-style) self-supervised objective rather than pixel reconstruction, pretrained on 18 million echocardiograms from 300,000 patients drawn from the public MIMIC-IV-ECHO dataset plus a private multi-site archive - reportedly the largest echo pretraining corpus assembled to date. With a frozen backbone and only lightweight added layers, it outperforms prior echo foundation models by roughly 20% on ejection-fraction estimation and 17% on right-ventricular pressure estimation, reaches strong view-classification accuracy using just 1% of labels, and transfers zero-shot to pediatric echo better than fully fine-tuned baselines. Developed by the University of Toronto's Bo Wang Lab.

GPT-style decoder-only Transformer pretrained via next-token prediction on tokenized single-lead ECG time series, producing an interpretable general-purpose model that can be fine-tuned for tasks like arrhythmia screening and beat detection. Individual attention heads are shown to respond to physiologically meaningful features such as the P-wave, and token embeddings cluster by position in the cardiac cycle. A companion PPG-pretrained model (PPG-PT) is released in the same repository. Developed at Imperial College London.

GPT-style decoder-only Transformer pretrained via next-token prediction on tokenized PPG time series, the companion model to ECG-PT (HeartGPT) in the same repository. Individual attention heads respond to physiologically meaningful waveform features such as the dicrotic notch, and the model can be fine-tuned for wearable-based cardiac screening tasks. Developed at Imperial College London.

Treats ECGs as a language: a QRS-Tokenizer converts raw waveforms into discrete heartbeat 'words' from a learned 8,192-entry vocabulary, and a spatio-temporal transformer (ST-ECGFormer) is pretrained via masked-sentence modeling over these tokens. Evaluated for robust, competitive performance across six public ECG datasets and published at ICLR 2025. Developed by Peking University's digital health group, pretrained on MIMIC-IV-ECG.

Multimodal model that learns a shared representation space for ECG signals and their clinical text reports, pretrained on paired MIMIC-IV-ECG recordings and reports. Supports zero-shot ECG classification via text prompts, tested across six public benchmark datasets including PTB-XL and CPSC2018 without any downstream training data. Developed at Imperial College London and published at ICML 2024.

One of the first open foundation models for PPG signals, pretrained on over 57,000 hours (20 million segments) of publicly available data using a morphology-aware self-supervised objective. Evaluated across 20 tasks from 10 datasets spanning cardiovascular health, sleep disorders, pregnancy monitoring, and general wellbeing. Developed by Nokia Bell Labs and published at ICLR 2025.

Open-source PPG foundation model pretrained directly on real-world, field-collected wearable data rather than clean clinical signals alone, aiming for better generalization to the noise of free-living conditions. Uses a ResNet-based encoder trained with a relative contrastive (RelCon) self-supervised objective, and is directly benchmarked against PaPaGei. Developed at the University of Illinois Urbana-Champaign and published at UbiComp 2025.

Generative adversarial network that synthesizes realistic 10-second, 12-lead normal-sinus-rhythm ECGs from scratch, without using any real patient data at inference time, enabling privacy-preserving data sharing and augmentation. Uses a U-Net-style 1D deconvolutional generator with a WaveGAN-inspired discriminator. Outperformed a WaveGAN* baseline on the fraction of generated tracings classified as normal sinus rhythm by a commercial ECG interpretation algorithm. Developed by SimulaMet and Oslo Metropolitan University.

Diffusion-based generative model that synthesizes 12-lead ECGs conditioned on any of 71 PTB-XL diagnostic labels, combining a denoising diffusion process with a structured state-space (S4) sequence backbone. Outperformed GAN-based baselines (WaveGAN*, Pulse2Pulse) on both classifier-based fidelity metrics and a clinical Turing test. Developed at the University of Oldenburg.