# Physics-Informed Deep Learning for False Ventricular Tachycardia Alarm Reduction in the ICU

arXiv: https://arxiv.org/abs/2609.08992 · HTML: https://mlsanity.com/paper/2609.08992/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 6 of its 17 references that are in the map.
- First posted on arXiv 8 Sep 2026.

## Builds on (most cited first, 6 of 6)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Optuna: A Next-generation Hyperparameter Optimization Framework](https://mlsanity.com/paper/1907.10902/) (2019)
- [An Empirical Survey of Data Augmentation for Time Series Classification with Neural Networks](https://mlsanity.com/paper/2007.15951/) (2020)
- [Reducing False Ventricular Tachycardia Alarms in ICU Settings: A Machine Learning Approach](https://mlsanity.com/paper/2503.14621/) (2025)

## Built on by (most cited first, 1 of 1)

- [TRACE: Tractable Routing Autoencoder for Clinical ECG](https://mlsanity.com/paper/2609.23460/) (2026)

## Abstract (arXiv)

False ventricular tachycardia (VT) alarms are a leading contributor to alarm fatigue in intensive care units. We propose a deep learning framework combining a 1D SE-ResNet with ICU-realistic data augmentations and a physics-informed auxiliary reconstruction task based on the three-element Windkessel hemodynamic model, implemented as a differentiable forward simulation. By requiring the network's latent representation to produce physiologically plausible arterial pressure waveforms, artifact-driven ECG patterns are penalized while true VT remains coherent across modalities. Evaluated on the VTaC benchmark under a strict real-time protocol (10-second pre-alarm window), our method achieves a 5-point Challenge Score improvement over prior state-of-the-art. Ablation studies confirm that the physics-informed objective is the primary performance driver, providing gains in accuracy, 2x label efficiency, and more localized and clinically meaningful ECG segments.
