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Paper · arXiv

Test-Time Adaptation for ECG Classification via SQI-Gated Self-Training and Beat-Rhythm Consistency

Deep learning models for electrocardiogram (ECG) classification often suffer from significant performance degradation when deployed in unseen domains due to shifts in acquisition devices and patient populations. Test-time adaptation (TTA) offers a practical solution by adapting models using only unlabeled data at inference time. However, existing TTA methods often underperform on ECG tasks, since naive online updates ignore the hierarchical beat-rhythm structure of cardiac cycles and are vulnerable to signal artifacts, which leads to unstable adaptation and model drift. We propose BeatRhythm-TTA, an ECG-tailored TTA framework that explicitly accounts for ECG's noisy observations and struc...

AuthorsWenhan Jiang, Zhipeng Deng, Jiale Zhou et al.
Primary categorycs.LG
Published24 August 2026
Last updated at source24 August 2026
cs.LG
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