ResearchResearch paperSpeech & Audio · Large Language Models · Computer Vision1 source · Oct 6, 2026

MS-ECG-FM: Towards a More Universal Electrocardiogram Foundation Model for Health Monitoring using Multi-source Contrastive Learning

We introduce a new ECG foundation model --- MS-ECG-FM --- that is trained through contrastive alignment to multiple distinct clinical note types, including ECG, echocardiography, radiology, and discharge reports.

Key points

  • Electrocardiography (ECG) records the electrical activity of the heart, aiding diagnosis by detecting abnormalities in cardiac function.
  • ECG foundation models have demonstrated promising results, but are limited by a reliance on ECG interpretation reports as their sole supervision.
  • Because interpretation reports only capture the subset of waveform information routinely recognized by clinicians, this constrains representation learning to overlook the broader diagnostic signals present in ECG.
  • We evaluate MS-ECG-FM on an extended set of ECG detection benchmarks, showing that it comprehensively outperforms existing methods on the full span of conditions that ECG can detect, including in reduced-lead configurations.

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