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ECG-NAT: A Self-supervised Neighborhood Attention Transformer for Multi-lead Electrocardiogram Classification

Amjad Seyedi, Fardin Akhlaghian Tab, Fatemeh Daneshfar, Mahsa Gazeran, Sayvan Soleymanbaigi

ECG-NAT uses masked autoencoder pretraining on unlabeled signals and dual-loss fine-tuning to classify multi-lead ECG arrhythmias at 88.1 percent accuracy from only 1 percent labeled data.

arxiv:2605.13194 v1 · 2026-05-13 · cs.LG · cs.AI

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Claims

C1strongest claim

ECG-NAT achieves robust performance on benchmark datasets, with 88.1% accuracy using only 1% labeled data, demonstrating strong efficacy in low-resource settings.

C2weakest assumption

That generative pretraining via masked autoencoder on multiple diverse unlabeled datasets produces robust domain-invariant representations that transfer effectively to the downstream classification task under the dual-loss fine-tuning regime.

C3one line summary

ECG-NAT combines masked autoencoder pretraining with hierarchical neighborhood attention and dual-loss fine-tuning to reach 88.1% accuracy on ECG classification using just 1% labeled data.

References

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[1] Detection of cardiovascular diseases in ecg images using machine learning and deep learning methods.IEEE transactions on artificial intelligence, 4(2):373–382, 2022 2022
[2] Bentham Science Publishers, 2013 2013
[3] Patricia Paglini-Oliva, MS Lo Presti, and H Walter Rivarola.Electrocardiography as a diagnos- tic method for Chagas disease in patients and experimental models. InTech, 2012 2012
[4] Convolutional neural network based automatic screening tool for cardiovascular diseases using different intervals of ECG signals 2021
[5] Chuang Han, Jiajia Sun, Yingnan Bian, Wenge Que, and Li Shi. Automated detection and localization of myocardial infarction with interpretability analysis based on deep learning.IEEE Transactions on In 2023
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First computed 2026-05-18T03:08:48.761966Z
Builder pith-number-builder-2026-05-17-v1
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Schema pith-number/v1.0

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4e9c4c33b7d9c24426e4427b65c8ca411e289f156f947f1bc77ca6193a6dd404

Aliases

arxiv: 2605.13194 · arxiv_version: 2605.13194v1 · doi: 10.48550/arxiv.2605.13194 · pith_short_12: J2OEYM5X3HBE · pith_short_16: J2OEYM5X3HBEIJXE · pith_short_8: J2OEYM5X
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Verify this Pith Number yourself
curl -sH 'Accept: application/ld+json' https://pith.science/pith/J2OEYM5X3HBEIJXEIJ5WLSGKIE \
  | jq -c '.canonical_record' \
  | python3 -c "import sys,json,hashlib; b=json.dumps(json.loads(sys.stdin.read()), sort_keys=True, separators=(',',':'), ensure_ascii=False).encode(); print(hashlib.sha256(b).hexdigest())"
# expect: 4e9c4c33b7d9c24426e4427b65c8ca411e289f156f947f1bc77ca6193a6dd404
Canonical record JSON
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