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Paper · arXiv

Wolff-Parkinson-White Detection at 471:1 Class Imbalance: A Leakage-Controlled Study of the Data Bottleneck

Wolff-Parkinson-White (WPW) syndrome is a congenital cardiac pre-excitation, clinically important and often missed on the resting 12-lead ECG. Detection is hard: the signature is subtle and the condition rare. We pool two public 12-lead corpora, PTB-XL and Chapman-Shaoxing-Ningbo: 66,951 recordings, 142 of them WPW, a prevalence of 0.21% (about 471:1). Under one pre-specified, leakage-controlled protocol, with a held-out fold contacted exactly once, we compare seven representations of the signal, holding the split and the evaluation fixed. Within these corpora and under a modest compute budget, added diversity and capacity do not raise the ceiling: the most orthogonal detector significant...

AuthorsNathael Altman
Primary categoryeess.SP
Published27 July 2026
Last updated at source27 July 2026
eess.SPcs.LG
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