ECG-based transfer learning for cardiovascular disease: A scoping review

An electrocardiogram (ECG) measures the electrical activity of the heart. It is valuable for the early detection of cardiovascular disease (CVD). Advancements in medical diagnosis using artificial intelligence have popularised transfer learning among researchers in machine learning and deep learning...

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Main Authors: Sharifah Noor Masidayu Sayed Ismail, Siti Fatimah Abdul Razak, Nor Azlina Ab Aziz
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2025-12-01
Series:International Journal of Cognitive Computing in Engineering
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666307425000075
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author Sharifah Noor Masidayu Sayed Ismail
Siti Fatimah Abdul Razak
Nor Azlina Ab Aziz
author_facet Sharifah Noor Masidayu Sayed Ismail
Siti Fatimah Abdul Razak
Nor Azlina Ab Aziz
author_sort Sharifah Noor Masidayu Sayed Ismail
collection DOAJ
description An electrocardiogram (ECG) measures the electrical activity of the heart. It is valuable for the early detection of cardiovascular disease (CVD). Advancements in medical diagnosis using artificial intelligence have popularised transfer learning among researchers in machine learning and deep learning. This scoping review focuses on the application of ECG-based transfer learning for CVD identification, examining the most common types of CVD studied, the input formats used, frequently referenced databases, and the extent of transfer learning's application in diagnosing CVD through ECG analysis. We also conducted a bibliographic analysis to provide an overview of the current situation in the CVD research field. Our analysis of over 70 studies published in the last six years indicates that arrhythmias are the most extensively studied CVD, with the MIT-BIH arrhythmia dataset being the most commonly used in previous research. Pre-trained models such as ResNet, AlexNet, and VGG, which are trained on ImageNet, are often used with two-dimensional (2D) ECG data as network input, achieving accuracy rates exceeding 90 %. The bibliographic analysis indicates that China and India are the highest contributors in this field. Our study also identifies several issues requiring further investigation and recommends areas for future research, including hyperparameter tuning to enhance model performance.
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institution Kabale University
issn 2666-3074
language English
publishDate 2025-12-01
publisher KeAi Communications Co., Ltd.
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series International Journal of Cognitive Computing in Engineering
spelling doaj-art-ab1191ba12244c9fbc7fb61b4b0a86442025-01-28T04:14:55ZengKeAi Communications Co., Ltd.International Journal of Cognitive Computing in Engineering2666-30742025-12-016280297ECG-based transfer learning for cardiovascular disease: A scoping reviewSharifah Noor Masidayu Sayed Ismail0Siti Fatimah Abdul Razak1Nor Azlina Ab Aziz2Faculty of Information Science & Technology, Multimedia University, 75450 Melaka, Malaysia; Correspondence author at: Faculty of Information Science & Technology, Multimedia University, 75450 Melaka, Malaysia.Faculty of Information Science & Technology, Multimedia University, 75450 Melaka, MalaysiaFaculty of Engineering & Technology, Multimedia University, 75450 Melaka, MalaysiaAn electrocardiogram (ECG) measures the electrical activity of the heart. It is valuable for the early detection of cardiovascular disease (CVD). Advancements in medical diagnosis using artificial intelligence have popularised transfer learning among researchers in machine learning and deep learning. This scoping review focuses on the application of ECG-based transfer learning for CVD identification, examining the most common types of CVD studied, the input formats used, frequently referenced databases, and the extent of transfer learning's application in diagnosing CVD through ECG analysis. We also conducted a bibliographic analysis to provide an overview of the current situation in the CVD research field. Our analysis of over 70 studies published in the last six years indicates that arrhythmias are the most extensively studied CVD, with the MIT-BIH arrhythmia dataset being the most commonly used in previous research. Pre-trained models such as ResNet, AlexNet, and VGG, which are trained on ImageNet, are often used with two-dimensional (2D) ECG data as network input, achieving accuracy rates exceeding 90 %. The bibliographic analysis indicates that China and India are the highest contributors in this field. Our study also identifies several issues requiring further investigation and recommends areas for future research, including hyperparameter tuning to enhance model performance.http://www.sciencedirect.com/science/article/pii/S2666307425000075ElectrocardiogramTransfer learningPre-trainedCardiovascular disease
spellingShingle Sharifah Noor Masidayu Sayed Ismail
Siti Fatimah Abdul Razak
Nor Azlina Ab Aziz
ECG-based transfer learning for cardiovascular disease: A scoping review
International Journal of Cognitive Computing in Engineering
Electrocardiogram
Transfer learning
Pre-trained
Cardiovascular disease
title ECG-based transfer learning for cardiovascular disease: A scoping review
title_full ECG-based transfer learning for cardiovascular disease: A scoping review
title_fullStr ECG-based transfer learning for cardiovascular disease: A scoping review
title_full_unstemmed ECG-based transfer learning for cardiovascular disease: A scoping review
title_short ECG-based transfer learning for cardiovascular disease: A scoping review
title_sort ecg based transfer learning for cardiovascular disease a scoping review
topic Electrocardiogram
Transfer learning
Pre-trained
Cardiovascular disease
url http://www.sciencedirect.com/science/article/pii/S2666307425000075
work_keys_str_mv AT sharifahnoormasidayusayedismail ecgbasedtransferlearningforcardiovasculardiseaseascopingreview
AT sitifatimahabdulrazak ecgbasedtransferlearningforcardiovasculardiseaseascopingreview
AT norazlinaabaziz ecgbasedtransferlearningforcardiovasculardiseaseascopingreview