SPAILGApr 14, 2025

xLSTM-ECG: Multi-label ECG Classification via Feature Fusion with xLSTM

arXiv:2504.16101v13 citationsh-index: 31
Originality Incremental advance
AI Analysis

This work addresses the need for accurate and efficient diagnostic tools in clinical settings by improving ECG classification, though it appears incremental as it adapts an existing xLSTM method to a specific domain.

The paper tackles multi-label ECG classification for diagnosing cardiovascular diseases by proposing xLSTM-ECG, which uses an extended LSTM network with STFT for feature fusion, achieving strong performance on the PTB-XL dataset and demonstrating robustness on the Georgia 12-Lead dataset.

Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, highlighting the critical need for efficient and accurate diagnostic tools. Electrocardiograms (ECGs) are indispensable in diagnosing various heart conditions; however, their manual interpretation is time-consuming and error-prone. In this paper, we propose xLSTM-ECG, a novel approach that leverages an extended Long Short-Term Memory (xLSTM) network for multi-label classification of ECG signals, using the PTB-XL dataset. To the best of our knowledge, this work represents the first design and application of xLSTM modules specifically adapted for multi-label ECG classification. Our method employs a Short-Time Fourier Transform (STFT) to convert time-series ECG waveforms into the frequency domain, thereby enhancing feature extraction. The xLSTM architecture is specifically tailored to address the complexities of 12-lead ECG recordings by capturing both local and global signal features. Comprehensive experiments on the PTB-XL dataset reveal that our model achieves strong multi-label classification performance, while additional tests on the Georgia 12-Lead dataset underscore its robustness and efficiency. This approach significantly improves ECG classification accuracy, thereby advancing clinical diagnostics and patient care. The code will be publicly available upon acceptance.

Foundations

The foundational work for this paper's niche, ranked by how specifically the neighbourhood builds on it — not by global fame.

Your Notes