Evidence map›Paper›PMID 40917829›Full record

ArticleFrontiers in medicine2025

Transformer-based ECG classification for early detection of cardiac arrhythmias.

Sunnia Ikram, Amna Ikram, Harvinder Singh, Malik Daler Ali Awan, Sajid Naveed, Isabel De la Torre Díez, Henry Fabian Gongora, Thania Candelaria Chio Montero

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Wearable Flexible Sensors for Cardiovascular Disease Monitoring.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sunnia IkramDepartment of Software Engineering, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Amna IkramFaculty of Computing, The Govt Sadiq College Women University, Bahawalpur, Pakistan.
Harvinder SinghDepartment of Mechanical Engineering, Chandigarh Group of Colleges, Landran, Mohali, Punjab, India.
Malik Daler Ali AwanDepartment of Software Engineering, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Sajid NaveedDepartment of Software Engineering, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Isabel De la Torre DíezDepartment of Signal Theory and Communications and Telematics Engineering, University of Valladolid, Valladolid, Spain.
Henry Fabian GongoraUniversidad Internacional Iberoamericana, Campeche, Mexico.
Thania Candelaria Chio MonteroUniversidad Internacional Iberoamericana, Arecibo, PR, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electrocardiogram (ECG) classification plays a critical role in early detection and trocardiogram (ECG) classification plays a critical role in early detection and monitoring cardiovascular diseases. This study presents a Transformer-based deep learning framework for automated ECG classification, integrating advanced preprocessing, feature selection, and dimensionality reduction techniques to improve model performance. The pipeline begins with signal preprocessing, where raw ECG data are denoised, normalized, and relabeled for compatibility with attention-based architectures. Principal component analysis (PCA), correlation analysis, and feature engineering is applied to retain the most informative features. To assess the discriminative quality of the selected features, t-distributed stochastic neighbor embedding (t-SNE) is used for visualization, revealing clear class separability in the transformed feature space. The refined dataset is then input to a Transformer- based model trained with optimized loss functions, regularization strategies, and hyperparameter tuning. The proposed model demonstrates strong performance on the MIT-BIH benchmark dataset, showing results consistent with or exceeding prior studies. However, due to differences in datasets and evaluation protocols, these comparisons are indicative rather than conclusive. The model effectively classifies ECG signals into categories such as Normal, atrial premature contraction (APC), ventricular premature contraction (VPC), and Fusion beats. These results underscore the effectiveness of Transformer-based models in biomedical signal processing and suggest potential for scalable, automated ECG diagnostics. However, deployment in real-time or resource-constrained settings will require further optimization and validation.

Indexed as

cardiac monitoringECG classificationelectrocardiogram analysisfeature engineeringPCATransformer-based modelt-SNEVPC

Identifiers

PMID40917829
PMCPMC12411431

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.