# Consciousness-ECG Transformer for Conscious State Estimation System with Real-Time Monitoring

arXiv: https://arxiv.org/abs/2511.02853 · HTML: https://mlsanity.com/paper/2511.02853/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 66 references that are in the map.
- First posted on arXiv 31 Oct 2025.

## Builds on (most cited first, 9 of 9)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [mixup: Beyond Empirical Risk Minimization](https://mlsanity.com/paper/1710.09412/) (2017)
- [RoFormer: Enhanced Transformer with Rotary Position Embedding](https://mlsanity.com/paper/2104.09864/) (2021)
- [Gaussian Error Linear Units (GELUs)](https://mlsanity.com/paper/1606.08415/) (2016)
- [GLU Variants Improve Transformer](https://mlsanity.com/paper/2002.05202/) (2020)
- [DeepSleepNet: a Model for Automatic Sleep Stage Scoring based on Raw Single-Channel EEG](https://mlsanity.com/paper/1703.04046/) (2017)
- [RawECGNet: Deep Learning Generalization for Atrial Fibrillation Detection from the Raw ECG](https://mlsanity.com/paper/2401.05411/) (2023)
- [Fully Automatic Electrocardiogram Classification System based on Generative Adversarial Network with Auxiliary Classifier](https://mlsanity.com/paper/2004.04894/) (2020)

## Abstract (arXiv)

Conscious state estimation is important in various medical settings, including sleep staging and anesthesia management, to ensure patient safety and optimize health outcomes. Traditional methods predominantly utilize electroencephalography (EEG), which faces challenges such as high sensitivity to noise and the requirement for controlled environments. In this study, we propose the consciousness-ECG transformer that leverages electrocardiography (ECG) signals for non-invasive and reliable conscious state estimation. Our approach employs a transformer with decoupled query attention to effectively capture heart rate variability features that distinguish between conscious and unconscious states. We implemented the conscious state estimation system with real-time monitoring and validated our system on datasets involving sleep staging and anesthesia level monitoring during surgeries. Experimental results demonstrate that our model outperforms baseline models, achieving accuracies of 0.877 on sleep staging and 0.880 on anesthesia level monitoring. Moreover, our model achieves the highest area under curve values of 0.786 and 0.895 on sleep staging and anesthesia level monitoring, respectively. The proposed system offers a practical and robust alternative to EEG-based methods, particularly suited for dynamic clinical environments. Our results highlight the potential of ECG-based consciousness monitoring to enhance patient safety and advance our understanding of conscious states.