Paper

Rethinking ECG Tokenization: A Unified Taxonomy and Clinically-Grounded ECG Foundation Model

Venue listed2026Added Oct 26, 2026

  • DU
  • A
  • FD
  • PL

Authors: Dmytro Zhylko (New York University, AE), Farah E. Shamout (New York University Abu Dhabi), per the OpenReview author list

NeurIPS 2026 Workshop GenAI4Health (poster), OpenReview 6iqTIcGBqt, published 2026-10-26

TL;DR

ECG Tokenization Taxonomy: shared terms for describing and comparing ECG tokenizers (raw waveform, fixed-duration patches, and others). ECGTokenizer: splits each lead into physiologically meaningful regions (P wave, QRS complex, T wave, and PR, ST, TP segments) instead of fixed patches, so the irregular timing of cardiac events is part of the input. ECGTFormer: a *compact causal* ECG FM with continuous-time rotary position encoding and V-JEPA self-supervised pretraining. Takes single- or multi-lead input. The causal design allows streaming inference with prefix caching.

  • Form factor: other

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Tasks & signals

Signals

Keywords

foundation-modeltokenizationphysiology-aware-tokensV-JEPAJEPAcausal-transformercontinuous-time-RoPEstreamingprefix-cachingsingle-lead

Datasets

Models

How it works

How ECGTFormer (NYU Abu Dhabi; physiology-aware ECGTokenizer + causal V-JEPA ECG FM) works: Setup → Method → TargetSetup: Signals (ecg); Form factor (other). Method: ECGTFormer (NYU Abu Dhabi; physiology-aware ECGTokenizer + causal V-JEPA ECG FM) (Transformer).SetupSignals: ecgSignalsecgForm factor: otherForm factorotherMethod×NECGTFormer (NYU Abu Dhabi…Transformer

Cite this paper

APA

Zhylko, D., Shamout, F. E., & list, P. T. O. A. (2026). Rethinking ECG Tokenization: A Unified Taxonomy and Clinically-Grounded ECG Foundation Model. NeurIPS 2026 Workshop GenAI4Health , OpenReview 6iqTIcGBqt. https://openreview.net/forum?id=6iqTIcGBqt

BibTeX

@inproceedings{zhylko2026rethinking,
  title         = {{Rethinking ECG Tokenization: A Unified Taxonomy and Clinically-Grounded ECG Foundation Model}},
  author        = {Zhylko, Dmytro and Shamout, Farah E. and list, per the OpenReview author},
  year          = {2026},
  booktitle     = {NeurIPS 2026 Workshop GenAI4Health , OpenReview 6iqTIcGBqt},
  url           = {https://openreview.net/forum?id=6iqTIcGBqt}
}

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