Foundation Models for ECG: Leveraging Hybrid Self-Supervised Learning for Advanced Cardiac Diagnostics

Abstract: Using foundation models enhanced by self-supervised learning (SSL) methods presents an innovative approach to electrocardiogram (ECG) analysis, which is crucial for cardiac health monitoring and diagnosis. This study comprehensively evaluates foundation models for ECGs, leveraging SSL methods, including generative and contrastive learning, on a vast dataset comprising approximately 1.3 million ECG samples. By integrating these methods with consideration of the unique characteristics of ECGs, we developed a Hybrid Learning (HL) for foundation models that improve the precision and reliability of cardiac diagnostics. The HL-based foundation model adeptly captures the intricate details of ECGs, enhancing diagnostic capability. The results underscore the considerable potential of SSL-enhanced foundation models in clinical settings, setting the stage for future research into their scalable applications across a broader range of medical diagnostics. This work sets a new standard in the ECG field, emphasizing the transformative influence of tailored, data-driven model training on the effectiveness and accuracy of medical diagnostics.