ECGBERT: Understanding Hidden Language of ECGs with Self-Supervised Representation Learning

Abstract

In the medical field, current ECG signal analysis approaches rely on supervised deep neural networks trained for specific tasks that require substantial amounts of labeled data. However, our paper introduces ECGBERT, a self-supervised representation learning approach that unlocks the underlying language of ECGs. By unsupervised pre-training of the model, we mitigate challenges posed by the lack of well-labeled and curated medical data. ECGBERT, inspired by advances in the area of natural language processing and large language models, can be fine-tuned with minimal additional layers for various ECG-based problems. Through four tasks, including Atrial Fibrillation arrhythmia detection, heartbeat classification, sleep apnea detection, and user authentication, we demonstrate ECGBERT's potential to achieve state-of-the-art results on a wide variety of tasks.