Neuromorphic Cardiac Sensing: A Bio-Inspired Spiking Neural Network with Sensory-Adaptive Encoding for Energy-Efficient Arrhythmia Detection from ECG and PPG Signals

Living nervous systems sense the cardiovascular rhythm with a parsimony that engineered monitors cannot match: sensory receptors encode changes rather than absolute levels, neurons communicate through sparse all-or-none events, retinal circuits sharpen salient features through lateral inhibition, and attention is allocated by surprise. We translate these four principles into BioSpike-Net, a fully event-driven spiking neural network for cardiac-rhythm classification from electrocardiogram (ECG) and photoplethysmogram (PPG) signals. A sensory-adaptive spike encoder (SASE) converts analogue waveforms into ON/OFF spike trains through a mechanoreceptor-inspired gain-control law; adaptive-threshold leaky integrate-and-fire layers integrate these events; a lateral-inhibition spiking convolution emphasises locally salient morphology; and a novelty-gated temporal attention mechanism concentrates computation on the most surprising portions of each beat. Evaluated on the MIT-BIH Arrhythmia Database, PTB-XL, CPSC-2018, and a PhysioNet-derived PPG corpus, BioSpike-Net achieved 97.6 ± 0.3% accuracy and 95.8 ± 0.4% macro-F1 on MIT-BIH five-class arrhythmia classification, and 0.982 ROC-AUC on PPG atrial-fibrillation detection, matching or exceeding strong recurrent, convolutional, and transformer baselines while requiring an estimated 6.4 µJ per inference—approximately 27-fold below the transformer baseline—owing to a mean activation density below 0.10 spikes per neuron per time step. Ablations show that each biological principle contributes a measurable and interpretable accuracy-versus-energy benefit, and the network degrades gracefully under additive noise and motion artefact. By grounding architecture in the economy of biological sensing, this work offers a route to sustainable, always-on cardiac monitoring.