Echo2ECG: Enhancing ECG Representations with Cardiac Morphology from Multi-View Echos

Fuente: arXiv
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Auteurs principaux: Liman, Michelle Espranita, Turgut, Özgün, Müller, Alexander, Martens, Eimo, Rueckert, Daniel, Müller, Philip
Format: Preprint
Publié: 2026
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author Liman, Michelle Espranita
Turgut, Özgün
Müller, Alexander
Martens, Eimo
Rueckert, Daniel
Müller, Philip
author_facet Liman, Michelle Espranita
Turgut, Özgün
Müller, Alexander
Martens, Eimo
Rueckert, Daniel
Müller, Philip
contents Electrocardiography (ECG) is a low-cost, widely used modality for diagnosing electrical abnormalities like atrial fibrillation by capturing the heart's electrical activity. However, it cannot directly measure cardiac morphological phenotypes, such as left ventricular ejection fraction (LVEF), which typically require echocardiography (Echo). Predicting these phenotypes from ECG would enable early, accessible health screening. Existing self-supervised methods suffer from a representational mismatch by aligning ECGs to single-view Echos, which only capture local, spatially restricted anatomical snapshots. To address this, we propose Echo2ECG, a multimodal self-supervised learning framework that enriches ECG representations with the heart's morphological structure captured in multi-view Echos. We evaluate Echo2ECG as an ECG feature extractor on two clinically relevant tasks that fundamentally require morphological information: (1) classification of structural cardiac phenotypes across three datasets, and (2) retrieval of Echo studies with similar morphological characteristics using ECG queries. Our extracted ECG representations consistently outperform those of state-of-the-art unimodal and multimodal baselines across both tasks, despite being 18x smaller than the largest baseline. These results demonstrate that Echo2ECG is a robust, powerful ECG feature extractor. Our code is accessible at https://github.com/michelleespranita/Echo2ECG.
format Preprint
id arxiv_https___arxiv_org_abs_2603_08505
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Echo2ECG: Enhancing ECG Representations with Cardiac Morphology from Multi-View Echos
Liman, Michelle Espranita
Turgut, Özgün
Müller, Alexander
Martens, Eimo
Rueckert, Daniel
Müller, Philip
Machine Learning
Artificial Intelligence
Electrocardiography (ECG) is a low-cost, widely used modality for diagnosing electrical abnormalities like atrial fibrillation by capturing the heart's electrical activity. However, it cannot directly measure cardiac morphological phenotypes, such as left ventricular ejection fraction (LVEF), which typically require echocardiography (Echo). Predicting these phenotypes from ECG would enable early, accessible health screening. Existing self-supervised methods suffer from a representational mismatch by aligning ECGs to single-view Echos, which only capture local, spatially restricted anatomical snapshots. To address this, we propose Echo2ECG, a multimodal self-supervised learning framework that enriches ECG representations with the heart's morphological structure captured in multi-view Echos. We evaluate Echo2ECG as an ECG feature extractor on two clinically relevant tasks that fundamentally require morphological information: (1) classification of structural cardiac phenotypes across three datasets, and (2) retrieval of Echo studies with similar morphological characteristics using ECG queries. Our extracted ECG representations consistently outperform those of state-of-the-art unimodal and multimodal baselines across both tasks, despite being 18x smaller than the largest baseline. These results demonstrate that Echo2ECG is a robust, powerful ECG feature extractor. Our code is accessible at https://github.com/michelleespranita/Echo2ECG.
title Echo2ECG: Enhancing ECG Representations with Cardiac Morphology from Multi-View Echos
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2603.08505