TolerantECG: A Foundation Model for Imperfect Electrocardiogram
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Abstract (arXiv)
The electrocardiogram (ECG) is an essential and effective tool for diagnosing heart diseases. However, its effectiveness can be compromised by noise or unavailability of one or more leads of the standard 12-lead recordings, resulting in diagnostic errors or uncertainty. To address these challenges, we propose TolerantECG, a foundation model for ECG signals that is robust to noise and capable of functioning with arbitrary subsets of the standard 12-lead ECG. TolerantECG training combines contrastive and self-supervised learning frameworks to jointly learn ECG signal representations alongside their corresponding knowledge-retrieval-based text report descriptions and corrupted or lead-missing signals. Comprehensive benchmarking results demonstrate that TolerantECG consistently ranks as the best or second-best performer across various ECG signal conditions and class levels in the PTB-XL dataset, and achieves the highest performance on the MIT-BIH Arrhythmia Database.
Key facts. Cited by 3 papers in the map (data through 14 Oct 2026). Builds on 14 of its 37 references that are in the map. First posted on arXiv 14 Jul 2025.
Builds on
14 of 37 references.
References · 14
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- 2021Self-supervised representation learning from 12-lead ECG datacited by 80
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- 2024ECG Semantic Integrator (ESI): A Foundation ECG Model Pretrained with LLM-Enhanced Cardiological Textcited by 26
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Citing papers per year: 2025: 1; 2026: 2.
3 papers.
- 2025ECG-RAMBA: Zero-Shot ECG Generalization by Morphology-Rhythm Disentanglement and Long-Range Modelingcited by 1
- 2026PRISM-CTG: A Foundation Model for Cardiotocography Analysis with Multi-View SSLcited by 0
- 2026BeatGraph: Self-Supervised Heartbeat Graphs for Infant ECG Representations from the Home Environmentcited by 0
- 2026BeatGraph: Self-Supervised Heartbeat Graphs for Infant ECG Representations from the Home Environment25 Sep 2026
- 2026PRISM-CTG: A Foundation Model for Cardiotocography Analysis with Multi-View SSL9 Apr 2026
- 2025ECG-RAMBA: Zero-Shot ECG Generalization by Morphology-Rhythm Disentanglement and Long-Range Modeling29 Dec 2025