# A Masked Representation Learning to Model Cardiac Functions Using Multiple Physiological Signals

arXiv: https://arxiv.org/abs/2509.08830 · HTML: https://mlsanity.com/paper/2509.08830/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 8 of its 29 references that are in the map.
- First posted on arXiv 26 Aug 2025.

## Builds on (most cited first, 8 of 8)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [BEiT: BERT Pre-Training of Image Transformers](https://mlsanity.com/paper/2106.08254/) (2021)
- [MultiMAE: Multi-modal Multi-task Masked Autoencoders](https://mlsanity.com/paper/2204.01678/) (2022)
- [Large-scale Training of Foundation Models for Wearable Biosignals](https://mlsanity.com/paper/2312.05409/) (2023)
- [Guiding Masked Representation Learning to Capture Spatio-Temporal Relationship of Electrocardiogram](https://mlsanity.com/paper/2402.09450/) (2024)
- [Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translation](https://mlsanity.com/paper/2308.13568/) (2023)
- [Attention mechanisms for physiological signal deep learning: which attention should we take?](https://mlsanity.com/paper/2207.06904/) (2022)

## Abstract (arXiv)

In clinical settings, monitoring hemodynamics is crucial for managing patient prognosis, necessitating the integrated analysis of multiple physiological signals. While recent research has analyzed single signals such as electrocardiography (ECG) or photoplethysmography (PPG), there has yet to be a proposal for an approach that encompasses the complex signal analysis required in actual clinical scenarios. In this study, we introduce the SNUPHY-M (Seoul National University hospital PHYsiological signal Masked representation learning) model extracts physiological features reflecting the electrical, pressure, and fluid characteristics of the cardiac cycle in the process of restoring three masked physiological signals based on self-supervised learning (SSL): ECG, PPG, and arterial blood pressure (ABP) signals. By employing multiple physical characteristics, the model can extract more enriched features only using non-invasive signals. We evaluated the model's performance in clinical downstream tasks such as hypotension, stroke volume, systolic blood pressure, diastolic blood pressure, and age prediction. Our results showed that the SNUPHY-M significantly outperformed supervised or SSL models, especially in prediction tasks using non-invasive signals. To the best of our knowledge, SNUPHY-M is the first model to apply multi-modal SSL to cardiovascular analysis involving ECG, PPG, and ABP signals. This approach effectively supports clinical decision-making and enables precise diagnostics, contributing significantly to the early diagnosis and management of hemodynamics without invasiveness.