An Attention-Augmented VAE-BiLSTM Framework for Anomaly Detection in 12-Lead ECG Signals

Fuente: arXiv
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Hauptverfasser: Basora, Marc Garreta, Mulayim, Mehmet Oguz
Format: Preprint
Veröffentlicht: 2025
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author Basora, Marc Garreta
Mulayim, Mehmet Oguz
author_facet Basora, Marc Garreta
Mulayim, Mehmet Oguz
contents Anomaly detection in 12-lead electrocardiograms (ECGs) is critical for identifying deviations associated with cardiovascular disease. This work presents a comparative analysis of three autoencoder-based architectures: convolutional autoencoder (CAE), variational autoencoder with bidirectional long short-term memory (VAE-BiLSTM), and VAE-BiLSTM with multi-head attention (VAE-BiLSTM-MHA), for unsupervised anomaly detection in ECGs. To the best of our knowledge, this study reports the first application of a VAE-BiLSTM-MHA architecture to ECG anomaly detection. All models are trained on normal ECG samples to reconstruct non-anomalous cardiac morphology and detect deviations indicative of disease. Using a unified preprocessing and evaluation pipeline on the public China Physiological Signal Challenge (CPSC) dataset, the attention-augmented VAE achieves the best performance, with an AUPRC of 0.81 and a recall of 0.85 on the held-out test set, outperforming the other architectures. To support clinical triage, this model is further integrated into an interactive dashboard that visualizes anomaly localization. In addition, a performance comparison with baseline models from the literature is provided.
format Preprint
id arxiv_https___arxiv_org_abs_2510_05919
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle An Attention-Augmented VAE-BiLSTM Framework for Anomaly Detection in 12-Lead ECG Signals
Basora, Marc Garreta
Mulayim, Mehmet Oguz
Machine Learning
Artificial Intelligence
Anomaly detection in 12-lead electrocardiograms (ECGs) is critical for identifying deviations associated with cardiovascular disease. This work presents a comparative analysis of three autoencoder-based architectures: convolutional autoencoder (CAE), variational autoencoder with bidirectional long short-term memory (VAE-BiLSTM), and VAE-BiLSTM with multi-head attention (VAE-BiLSTM-MHA), for unsupervised anomaly detection in ECGs. To the best of our knowledge, this study reports the first application of a VAE-BiLSTM-MHA architecture to ECG anomaly detection. All models are trained on normal ECG samples to reconstruct non-anomalous cardiac morphology and detect deviations indicative of disease. Using a unified preprocessing and evaluation pipeline on the public China Physiological Signal Challenge (CPSC) dataset, the attention-augmented VAE achieves the best performance, with an AUPRC of 0.81 and a recall of 0.85 on the held-out test set, outperforming the other architectures. To support clinical triage, this model is further integrated into an interactive dashboard that visualizes anomaly localization. In addition, a performance comparison with baseline models from the literature is provided.
title An Attention-Augmented VAE-BiLSTM Framework for Anomaly Detection in 12-Lead ECG Signals
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2510.05919