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Hauptverfasser: Mehdi, Naqcho Ali, Ali, Amir
Format: Preprint
Veröffentlicht: 2026
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Online-Zugang:https://arxiv.org/abs/2603.07558
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author Mehdi, Naqcho Ali
Ali, Amir
author_facet Mehdi, Naqcho Ali
Ali, Amir
contents Automated electrocardiogram (ECG) classification is essential for early detection of cardiovascular diseases. While recent approaches have increasingly relied on deep neural networks with complex architectures, we demonstrate that careful data preprocessing, class balancing, and a simplified convolutional neural network combined with a variational autoencoder (CNN-VAE) architecture can achieve competitive performance with significantly reduced model complexity. Using the publicly available PTB XL dataset, we achieve 87.01% binary accuracy and 0.7454 weighted F1-score across five diagnostic classes (CD, HYP, MI, NORM, STTC) with only 197,093 trainable parameters. Our work emphasises the importance of data-centric machine learning practices over architectural complexity, demonstrating that systematic preprocessing and balanced training strategies are critical for medical signal classification. We identify challenges in minority class detection (particularly hypertrophy) and provide insights for future improvements in handling imbalanced ECG datasets. Index Terms: ECG classification, convolutional neural networks, class balancing, data preprocessing, variational autoencoders, PTB-XL dataset
format Preprint
id arxiv_https___arxiv_org_abs_2603_07558
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle ECG Classification on PTB-XL: A Data-Centric Approach with Simplified CNN-VAE
Mehdi, Naqcho Ali
Ali, Amir
Machine Learning
Automated electrocardiogram (ECG) classification is essential for early detection of cardiovascular diseases. While recent approaches have increasingly relied on deep neural networks with complex architectures, we demonstrate that careful data preprocessing, class balancing, and a simplified convolutional neural network combined with a variational autoencoder (CNN-VAE) architecture can achieve competitive performance with significantly reduced model complexity. Using the publicly available PTB XL dataset, we achieve 87.01% binary accuracy and 0.7454 weighted F1-score across five diagnostic classes (CD, HYP, MI, NORM, STTC) with only 197,093 trainable parameters. Our work emphasises the importance of data-centric machine learning practices over architectural complexity, demonstrating that systematic preprocessing and balanced training strategies are critical for medical signal classification. We identify challenges in minority class detection (particularly hypertrophy) and provide insights for future improvements in handling imbalanced ECG datasets. Index Terms: ECG classification, convolutional neural networks, class balancing, data preprocessing, variational autoencoders, PTB-XL dataset
title ECG Classification on PTB-XL: A Data-Centric Approach with Simplified CNN-VAE
topic Machine Learning
url https://arxiv.org/abs/2603.07558