In-Distribution and Out-of-Distribution Self-supervised ECG Representation Learning for Arrhythmia Detection
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Abstract (arXiv)
This paper presents a systematic investigation into the effectiveness of Self-Supervised Learning (SSL) methods for Electrocardiogram (ECG) arrhythmia detection. We begin by conducting a novel analysis of the data distributions on three popular ECG-based arrhythmia datasets: PTB-XL, Chapman, and Ribeiro. To the best of our knowledge, our study is the first to quantitatively explore and characterize these distributions in the area. We then perform a comprehensive set of experiments using different augmentations and parameters to evaluate the effectiveness of various SSL methods, namely SimCRL, BYOL, and SwAV, for ECG representation learning, where we observe the best performance achieved by SwAV. Furthermore, our analysis shows that SSL methods achieve highly competitive results to those achieved by supervised state-of-the-art methods. To further assess the performance of these methods on both In-Distribution (ID) and Out-of-Distribution (OOD) ECG data, we conduct cross-dataset training and testing experiments. Our comprehensive experiments show almost identical results when comparing ID and OOD schemes, indicating that SSL techniques can learn highly effective representations that generalize well across different OOD datasets. This finding can have major implications for ECG-based arrhythmia detection. Lastly, to further analyze our results, we perform detailed per-disease studies on the performance of the SSL methods on the three datasets.
Key facts. Cited by 7 papers in the map (data through 14 Oct 2026). Builds on 26 of its 46 references that are in the map. First posted on arXiv 13 Apr 2023.
Builds on
26 of 46 references.
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Citing papers per year: 2024: 2; 2025: 5.
7 papers.
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- 2025Investigating ECG Diagnosis with Ambiguous Labels using Partial Label Learning11 Dec 2025
- 2025Enhancing ECG Classification Robustness with Lightweight Unsupervised Anomaly Detection Filters30 Oct 2025
- 2025Uncertainty-Aware Multi-view Arrhythmia Classification from ECG1 Jun 2025
- 2025Generalizable deep learning for photoplethysmography-based blood pressure estimation -- A Benchmarking Study26 Feb 2025
- 2025Dynamic Prototype Rehearsal for Continual ECG Arrhythmia Detection13 Jan 2025
- 2024HeartBERT: A Self-Supervised ECG Embedding Model for Efficient and Effective Medical Signal Analysis8 Nov 2024
- 2024NapTune: Efficient Model Tuning for Mood Classification using Previous Night's Sleep Measures along with Wearable Time-series7 Sep 2024