Learning ECG Representations based on Manipulated Temporal-Spatial Reverse Detection

Learning representations from electrocardiogram (ECG) serves as a fundamental step for many downstream machine learning-based ECG analysis tasks. However, the learning process is always restricted by lack of high-quality labeled data in reality. Existing methods addressing data deficiency either cannot provide satisfied representations for downstream tasks or require too much effort to construct similar and dissimilar pairs to learn informative representations. In this paper, we propose a straightforward but effective approach to learn ECG representations. Inspired by the temporal and spatial characteristics of ECG, we flip the original signals horizontally, vertically, and both horizontally and vertically. The learning is then done by classifying the four types of signals including the original one. To verify the effectiveness of the proposed temporal-spatial (T-S) reverse detection method, we conduct a downstream task to detect atrial fibrillation (AF) which is one of the most common ECG tasks. The results show that the ECG representations learned with our method lead to remarkable performances on the downstream task. In addition, after exploring the representational feature space and investigating which parts of the ECG signal contribute to the representations, we conclude that the temporal reverse is more effective than the spatial reverse for learning ECG representations.