BenchECG and xECG: a benchmark and baseline for ECG foundation models

Fuente: arXiv
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Autori principali: Lunelli, Riccardo, Nicolson, Angus, Pröll, Samuel Martin, Reinstadler, Sebastian Johannes, Bauer, Axel, Dlaska, Clemens
Natura: Preprint
Pubblicazione: 2025
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author Lunelli, Riccardo
Nicolson, Angus
Pröll, Samuel Martin
Reinstadler, Sebastian Johannes
Bauer, Axel
Dlaska, Clemens
author_facet Lunelli, Riccardo
Nicolson, Angus
Pröll, Samuel Martin
Reinstadler, Sebastian Johannes
Bauer, Axel
Dlaska, Clemens
contents Electrocardiograms (ECGs) are inexpensive, widely used, and well-suited to deep learning. Recently, interest has grown in developing foundation models for ECGs - models that generalise across diverse downstream tasks. However, consistent evaluation has been lacking: prior work often uses narrow task selections and inconsistent datasets, hindering fair comparison. Here, we introduce BenchECG, a standardised benchmark comprising a comprehensive suite of publicly available ECG datasets and versatile tasks. We also propose xECG, an xLSTM-based recurrent model trained with SimDINOv2 self-supervised learning, which achieves the best BenchECG score compared to publicly available state-of-the-art models. In particular, xECG is the only publicly available model to perform strongly on all datasets and tasks. By standardising evaluation, BenchECG enables rigorous comparison and aims to accelerate progress in ECG representation learning. xECG achieves superior performance over earlier approaches, defining a new baseline for future ECG foundation models.
format Preprint
id arxiv_https___arxiv_org_abs_2509_10151
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle BenchECG and xECG: a benchmark and baseline for ECG foundation models
Lunelli, Riccardo
Nicolson, Angus
Pröll, Samuel Martin
Reinstadler, Sebastian Johannes
Bauer, Axel
Dlaska, Clemens
Machine Learning
Artificial Intelligence
I.2.1
Electrocardiograms (ECGs) are inexpensive, widely used, and well-suited to deep learning. Recently, interest has grown in developing foundation models for ECGs - models that generalise across diverse downstream tasks. However, consistent evaluation has been lacking: prior work often uses narrow task selections and inconsistent datasets, hindering fair comparison. Here, we introduce BenchECG, a standardised benchmark comprising a comprehensive suite of publicly available ECG datasets and versatile tasks. We also propose xECG, an xLSTM-based recurrent model trained with SimDINOv2 self-supervised learning, which achieves the best BenchECG score compared to publicly available state-of-the-art models. In particular, xECG is the only publicly available model to perform strongly on all datasets and tasks. By standardising evaluation, BenchECG enables rigorous comparison and aims to accelerate progress in ECG representation learning. xECG achieves superior performance over earlier approaches, defining a new baseline for future ECG foundation models.
title BenchECG and xECG: a benchmark and baseline for ECG foundation models
topic Machine Learning
Artificial Intelligence
I.2.1
url https://arxiv.org/abs/2509.10151