Lightweight convolutional neural network for binary ECG classification that represents ECG beats as spectrograms (via short-time Fourier transform) rather than raw signals, after denoising and frequency filtration to reduce data volume while preserving diagnostically relevant information. Using the large public PTB-XL dataset, the spectrogram-based CNN reached 99.06% accuracy, outperforming an equivalent raw-signal CNN, while also reducing memory usage and computation by avoiding complex architectures; the authors additionally studied the effect of signal up/down-sampling on classification performance.

Supervised contrastive learning framework for robust, fine-grained echocardiographic view classification across 47 clinically meaningful view types (rather than collapsing views into a few broad categories, as most prior work does). Introduces TTE47, the first publicly available benchmark with 47 fine-grained views independently annotated by three experts, enabling rigorous quantification of inter-observer agreement. A tailored contrastive loss produces a feature space that aligns more strongly with underlying anatomy than with any single annotator's labeling style, and the model outperforms cross-entropy and standard supervised-contrastive baselines on both TTE47 and the public TMED-2 benchmark (the latter without dataset-specific pretraining).

Real-time deep-learning model that fuses serial 12-lead ECG waveforms with sequential vital signs and routinely available clinical data to predict hospital admission early during emergency department (ED) encounters with cardiac presentations (chest pain, dyspnea, syncope, presyncope). Developed and validated on the public MIMIC-IV, MIMIC-IV-ED, and MIMIC-IV-ECG databases (n=30,421 ED stays with >=1 ECG; n=11,273 with >=2 ECGs), the model improves on baseline tabular (random forest) and ECG-only models by leveraging how a patient's risk evolves with successive ECGs during the visit, addressing a key limitation of single-time-point risk scores.

Self-supervised deep learning system that detects ECG anomalies indirectly, by learning to forecast what a normal ECG signal should look like next. FADE is trained only on normal ECG segments using a novel morphology-inspired loss function; at inference time, a large mismatch between the forecast and the observed signal flags an anomaly, avoiding the need for labeled abnormal-beat datasets. Evaluated on the public MIT-BIH NSR and MIT-BIH Arrhythmia databases, FADE reached an average accuracy of 83.84% for anomaly detection and 85.46% for correctly classifying normal ECG, and the approach can be adapted to new recording contexts via domain adaptation.

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.

Early semi-supervised sequence model for estimating cardiovascular and metabolic risk directly from consumer wearable sensor data (heart rate, step count, and activity level), rather than from clinical-grade ECG or imaging. A multi-task long short-term memory (LSTM) network is first pretrained using semi-supervised sequence learning or heuristic pretraining on unlabeled wearable time series, then fine-tuned to jointly predict four self-reported conditions: diabetes, high cholesterol, high blood pressure, and sleep apnea. Trained and validated on 57,675 person-weeks of data from participants in UCSF's Health eHeart study using the Cardiogram app on Fitbit, Apple Watch, or Android Wear devices, DeepHeart outperformed hand-engineered heart-rate-variability biomarkers from the medical literature, reaching AUROCs of 0.845 (diabetes), 0.744 (high cholesterol), 0.809 (high blood pressure), and 0.830 (sleep apnea). The paper was an early demonstration that population-scale, passively-collected wearable heart-rate data could support cardiometabolic risk screening without any dedicated clinical measurement.

Unified deep-learning model for 12-lead ECG analysis that predicts a broad range of cardiac and non-cardiac discharge diagnoses coded under the ICD-10 classification system, evaluated as a unified screening tool for emergency departments where a single ECG could flag many potential conditions at once rather than one disease at a time. Introduces the MIMIC-IV-ECG-ICD-ED benchmark dataset (derived from MIMIC-IV and MIMIC-IV-ECG) and reports AUROC scores across diverse diagnostic scenarios (all discharge diagnoses vs. emergency-department-only diagnoses, cardiac vs. non-cardiac ICD-10 chapters), suggesting integration into emergency-department clinical decision-support systems.

ECG-guided photoplethysmography (PPG) foundation model pretrained on over 100,000 hours of synchronized PPG-ECG recordings from 58,796 subjects across five clinical and wearable sources, using a CLIP-style contrastive alignment framework so the PPG encoder inherits physiologically grounded structure from paired ECG. Achieves state-of-the-art performance on 13 of 15 conventional physiological-analysis tasks across eight datasets, and shows meaningful discriminative capability (AUC >= 0.70) for 307 ICD-10-coded phenotypes across 16 phecode chapters, including many non-cardiovascular conditions.

Foundation vision-language model for cardiac MRI that learns pathophysiological visual representations directly from the natural-language radiology reports accompanying each scan, rather than from hand-labeled targets. A Multi-scale Vision Transformer (MViT, Kinetics-400-initialized) video encoder for cine CMR sequences is contrastively pretrained (InfoNCE) against a PubMed-pretrained BERT text encoder over 19,041 multi-institutional CMR studies. The frozen vision encoder transfers with strong performance to left-ventricular ejection-fraction regression (MAE 3.34% on a UK Biobank hold-out of ~4,259-45,623 participants) and detecting HFrEF (LVEF<40%, AUC 0.880), and the paper reports emergent zero-/few-shot performance across 39 cardiac and non-cardiac conditions including cardiac amyloidosis and hypertrophic cardiomyopathy. Code and pretrained MViT encoder weights are both released (Hugging Face, CC BY-NC 4.0).

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.

Self-supervised EfficientNetV2-based 12-lead ECG foundation model pretrained via contrastive learning and masked-lead modeling on 1.9 million ECGs (Montreal Heart Institute plus CODE-15% and MIMIC-IV), then fine-tuned for the same 77-condition ECG interpretation task and digital-biomarker extraction as DeepECG-SL. Outperforms the supervised counterpart on label-scarce digital-biomarker tasks, with the largest gains on LQTS genotype classification (AUROC 0.931 vs. 0.850, n=127 ECGs) and 5-year atrial-fibrillation risk (AUROC 0.742 vs. 0.734, n=132,050 ECGs), and outperforms ECG-FM and ECGFounder on shared external diagnostic classes.

Multimodal large language model for ECG medical-report generation and cardiology conversational question-answering. An ECG-CoCa encoder (contrastive ECG-report pretraining in the style of OpenCLIP) is paired with a LLaVA-style vision-language architecture and an LLM backbone, fine-tuned on a purpose-built 45k-example ECG-instruction dataset (19k diagnosis examples + 25k multi-turn dialogue examples) built from five public 12-lead ECG datasets. Produces free-text diagnostic reports and supports zero-shot ECG-report retrieval classification.

Self-supervised ECG representation-learning method that adapts Joint-Embedding Predictive Architecture (JEPA) -- originally developed for images -- to 1D electrocardiogram signals. A Vision Transformer encoder (ViT-XS/S/B) is pretrained to predict masked temporal segments of the ECG directly in latent feature space, using a masking strategy tailored to time-series, on more than 1 million ECGs pooled from MIMIC-IV-ECG, CODE-15%, PTB-XL, Chapman-Shaoxing, CPSC2018/Extra, Georgia, PTB, and St-Petersburg-INCART. After fine-tuning on PTB-XL, the ViT-S/JEPA model reaches 0.945 AUC on the all-statements diagnostic task, exceeding prior self-supervised ECG baselines including CPC and ST-MEM. Developed at the Zuse Institute Berlin.

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).

Patch-based masked-training framework for robust arrhythmia detection from digitized, multi-layout ECG images (e.g. 3x4, 2x6, 12x1 printed/scanned layouts), designed to handle the asynchronous lead timing and partial signal blackout that digitization introduces. An adaptive variable block-count masking strategy focuses model attention on key patches with cross-lead dependencies. Evaluated on PTB-XL digitized into multiple synthetic layouts and externally validated on 400 real digitized ECG images from Chaoyang Hospital, outperforming classical imputation baselines and the CNN foundation model ECGFounder.

ECG foundation model designed to remain accurate when leads are missing or signals are noisy. A 1D ConvNeXt V2 encoder is trained with a dual-mode self-distillation objective (separate lead-missing and noise "teachers") alongside contrastive alignment to detailed diagnostic-criteria text reports retrieved via a lightweight, LLM-free "Cardiac Feature Retrieval" module. Consistently ranks best or second-best across PTB-XL diagnostic tasks and MIT-BIH arrhythmia classification under original, noisy, lead-missing, and combined-corruption conditions. Developed by FPT Software AI Center and the University of Arkansas.

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.

Open-source, reproducible pipeline for representing 12-lead ECGs as explicit graphs -- nodes per lead-timepatch, with edges encoding established inter-lead spatial relationships (fully-connected limb- and chest-lead subgraphs bridged via leads I, aVF, V4, and V5) -- and classifying them with a Graph Convolutional Network, paired with GNNExplainer to surface which leads and lead-pairs drove each prediction. Evaluated on PTB-XL for five-class diagnostic superclass classification (AUC 0.86) and, with the same architecture, on anteroseptal-vs-inferior myocardial-infarction localization (AUC 0.92), externally validated on the population-based SHIP cohort (AUC 0.87). Explainability analysis showed the GNN's lead attention recovers standard ECG diagnostic criteria (e.g. V1-V3 for anteroseptal MI, II/III/aVF for inferior MI). Developed at University Medical Center Gottingen; code and an example trained checkpoint are released under CC BY-NC 4.0.

1D residual neural network that screens 10-second, 12-lead ECG tracings for six common abnormalities: first- and second-degree AV block patterns, right and left bundle branch block, sinus bradycardia, atrial fibrillation, and sinus tachycardia. Reported F1 scores above 80% and specificity over 99% when benchmarked against cardiology residents. Developed at Universidade Federal de Minas Gerais and trained on the large Brazilian CODE-15% ECG dataset.

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.

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).

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.

Multimodal ECG model that pairs a 1D ConvNeXtV2 signal encoder with a BioLinkBERT text encoder, trained with a joint contrastive-and-captioning objective using LLM-generated descriptions of ECG demographics and waveform patterns in place of raw clinical reports. Validated on arrhythmia diagnosis and ECG-based subject identification, reaching an AUROC of 0.938 fine-tuned and 0.812 zero-shot on PTB-XL diagnostic classification. Developed at Rice University.

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.

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.

Self-supervised foundation model for 12-lead ECGs, pretrained on 9.1 million recordings covering 164 cardiovascular conditions across adult and pediatric cohorts, including single-lead settings. Uses a HuBERT-style Transformer encoder and can be fine-tuned with a simple output layer for diagnosis and event-prediction tasks. Released in small, base, and large (~183M parameter) configurations by researchers at the University of Brescia.

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.

Reference benchmark suite for the PTB-XL ECG dataset, providing pretrained xresnet1d, InceptionTime, LSTM, and CPC-pretrained models for 71-label, diagnostic, sub-diagnostic, and super-diagnostic classification of ECG findings. Widely used as a standardized baseline for comparing new ECG classification methods. Developed by Strodthoff et al. at Fraunhofer HHI.