Electrocardiograms (ECGs) record the heart’s electrical activity, offering valuable diagnostic and prognostic insights. We introduce Contrasting by Augmented Patient Electrocardiograms (CAPE), a foundation model trained using patient contrastive learning enhanced with temporal augmentations, on over six million unlabeled ECGs from diverse cohorts across three continents. We demonstrate CAPE’s effectiveness to generate a meaningful generic representation and validate its performance on an open-source external cohort, where it surpasses existing pretraining methods and fully supervised deep networks.

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Contrasting by Augmented Patient Electrocardiograms to Learn Representations for a Foundation Model

  • Gul Rukh Khattak,
  • Konstantinos Patlatzoglou,
  • Yixiu Liang,
  • Libor Pastika,
  • Boroumand Zeidaabadi,
  • Joseph Barker,
  • Mehak Gurnani,
  • Antonio H. Ribeiro,
  • Jeffrey Annis,
  • Antonio Luiz Pinho Ribeiro,
  • Nicholas Peters,
  • Junbo Ge,
  • Daniel B. Kramer,
  • Jonathan W. Waks,
  • Evan Brittain,
  • Arunashis Sau,
  • Fu Siong Ng

摘要

Electrocardiograms (ECGs) record the heart’s electrical activity, offering valuable diagnostic and prognostic insights. We introduce Contrasting by Augmented Patient Electrocardiograms (CAPE), a foundation model trained using patient contrastive learning enhanced with temporal augmentations, on over six million unlabeled ECGs from diverse cohorts across three continents. We demonstrate CAPE’s effectiveness to generate a meaningful generic representation and validate its performance on an open-source external cohort, where it surpasses existing pretraining methods and fully supervised deep networks.