Foundation models for electrocardiogram interpretation: clinical implications
This study establishes SSL as a promising paradigm for ECG analysis, particularly in settings with limited annotated data, enhancing accessibility, generalizability, and fairness in AI-driven cardiac diagnostics. By releasing model weights, preprocessing tools, and validation code, this work aims to support robust, data-efficient AI diagnostics across diverse clinical environments and questions.
Authors
- Joshua P. Barrios (ORCID: https://orcid.org/0000-0003-1618-6244)
- Jacques Delfrate (ORCID: https://orcid.org/0009-0001-0466-1354)
- Geoffrey H. Tison (ORCID: https://orcid.org/0000-0002-0310-3326)
- François Harvey (ORCID: https://orcid.org/0000-0001-8553-3794)
- François-Christophe Marois-Blanchet
- R TADROS
- Mourad Bahani (ORCID: https://orcid.org/0000-0003-3208-941X)
- Neal A. Chatterjee (ORCID: https://orcid.org/0000-0002-8290-127X)
- Brian J. Potter (ORCID: https://orcid.org/0000-0002-0316-9026)
- Pierre Elias (ORCID: https://orcid.org/0000-0002-9643-3024)
- Derman Ozdemir
- Mary Alice Noel
- Patrick M. Boyle (ORCID: https://orcid.org/0000-0001-9048-1239)
- Merve Kulbay (ORCID: https://orcid.org/0000-0003-2756-3973)
- Mahnaz Maddah (ORCID: https://orcid.org/0000-0002-9837-6000)
- M. Chassé
- Gilbert Jabbour (ORCID: https://orcid.org/0009-0003-5636-2238)
- Surbhi Sharma (ORCID: https://orcid.org/0000-0002-6429-0743)
- David W. Ouyang
- Minhaj Ansari
- Valentina D'souza
- A. Sowa
- Shaan Khurshid
- S Friedman
- Olivier Tastet
- Robert Avram
- Alexis Nolin-Lapalme
- Julia Cadrin-Tourigny
- I Min Chiu
- Denis Corbin
Institutions
- Broad Institute (US)
- Cedars-Sinai Medical Center (US)
- Kaiser Permanente (US)
- University of California, San Francisco (US)
- University of Washington (US)
- Columbia University Irving Medical Center (US)
- New Mexico Military Institute (US)
- Montreal Heart Institute (CA)
- McGill University Health Centre (CA)
- Jewish General Hospital (CA)
- Massachusetts General Hospital (US)
- Cedars-Sinai Smidt Heart Institute (US)
- Centre Hospitalier de l’Université de Montréal (CA)
- Mila - Quebec Artificial Intelligence Institute (CA)
- McGill University (CA)
- Université de Montréal (CA)
Publication Details
- Journal
- European Heart Journal
- Published
- 2025-12-27
- DOI
- https://doi.org/10.1093/eurheartj/ehaf1119
- Citations
- 4
- Primary Topic
- ECG Monitoring and Analysis
- Type
- article
- Field-Weighted Citation Impact
- 5.55