ECGadv: Generating Adversarial Electrocardiogram to Misguide Arrhythmia Classification System
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Abstract (arXiv)
Deep neural networks (DNNs)-powered Electrocardiogram (ECG) diagnosis systems recently achieve promising progress to take over tedious examinations by cardiologists. However, their vulnerability to adversarial attacks still lack comprehensive investigation. The existing attacks in image domain could not be directly applicable due to the distinct properties of ECGs in visualization and dynamic properties. Thus, this paper takes a step to thoroughly explore adversarial attacks on the DNN-powered ECG diagnosis system. We analyze the properties of ECGs to design effective attacks schemes under two attacks models respectively. Our results demonstrate the blind spots of DNN-powered diagnosis systems under adversarial attacks, which calls attention to adequate countermeasures.
Key facts. Cited by 10 papers in the map (data through 7 Oct 2026). First posted on arXiv 12 Jan 2019.
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Citing papers per year: 2021: 4; 2022: 2; 2023: 1; 2024: 2; 2025: 1.
10 papers.
- 2021Explainable Deep Learning in Healthcare: A Methodological Survey from an Attribution Viewcited by 15
- 2021ECG-Adv-GAN: Detecting ECG Adversarial Examples with Conditional Generative Adversarial Networkscited by 8
- 2022GeoECG: Data Augmentation via Wasserstein Geodesic Perturbation for Robust Electrocardiogram Predictioncited by 8
- 2021Application of Adversarial Examples to Physical ECG Signalscited by 2
- 2021ECG-ATK-GAN: Robustness against Adversarial Attacks on ECGs using Conditional Generative Adversarial Networkscited by 2
- 2022Defending Against Adversarial Attack in ECG Classification with Adversarial Distillation Trainingcited by 2
- 2024Systematically Assessing the Security Risks of AI/ML-enabled Connected Healthcare Systemscited by 2
- 2024SoK: Security and Privacy Risks of Healthcare AIcited by 2
- 2023Automated Cardiovascular Record Retrieval by Multimodal Learning between Electrocardiogram and Clinical Reportcited by 1
- 2025Systems-Theoretic and Data-Driven Security Analysis in ML-enabled Medical Devicescited by 0
- 2025Systems-Theoretic and Data-Driven Security Analysis in ML-enabled Medical Devices18 Jun 2025
- 2024SoK: Security and Privacy Risks of Healthcare AI11 Sep 2024
- 2024Systematically Assessing the Security Risks of AI/ML-enabled Connected Healthcare Systems30 Jan 2024
- 2023Automated Cardiovascular Record Retrieval by Multimodal Learning between Electrocardiogram and Clinical Report13 Apr 2023
- 2022GeoECG: Data Augmentation via Wasserstein Geodesic Perturbation for Robust Electrocardiogram Prediction2 Aug 2022
- 2022Defending Against Adversarial Attack in ECG Classification with Adversarial Distillation Training14 Mar 2022
- 2021Explainable Deep Learning in Healthcare: A Methodological Survey from an Attribution View5 Dec 2021
- 2021ECG-ATK-GAN: Robustness against Adversarial Attacks on ECGs using Conditional Generative Adversarial Networks17 Oct 2021
- 2021Application of Adversarial Examples to Physical ECG Signals20 Aug 2021
- 2021ECG-Adv-GAN: Detecting ECG Adversarial Examples with Conditional Generative Adversarial Networks16 Jul 2021