Electrocardiogram (ECG) recordings are sensitive biomedical data, limiting the ability of hospitals and wearable devices to share raw signals for centralized model training. Federated learning addresses this practical privacy constraint by enabling collaborative model training while keeping raw biosignal data at their respective sources. However, federated ECG classification remains challenging due to limited client-side samples, imbalanced arrhythmia labels, and non-independent and identically distributed (non-IID) data across clients. These constraints require classifiers that are both communication-efficient and robust to cross-client distribution shifts. In this work, we evaluate a hybrid quantum-inspired Kolmogorov-Arnold network (HQKAN) against a multilayer perceptron (MLP) for five-class arrhythmia classification on the MIT-BIH dataset and three-class classification on the INCART dataset under federated averaging (FedAvg). Across multiple client configurations, HQKAN improves most aggregate and minority-class metrics while using 37.35% fewer trainable parameters and reducing communication cost by 24.89% on MIT-BIH; on INCART, it achieves corresponding reductions of 44.81% and 36.41%. These results indicate that HQKAN offers a compact, communication-efficient and robust alternative to the MLP baseline for privacy-aware federated learning on biosignal data.
Floriaan Bulten, Yawar Rasheed, Arlene John +2cs.AR cs.LG cs.NE cs.PF
Cardiovascular diseases are the leading cause of death worldwide, and conditions such as arrhythmia often require long-term monitoring for effective detection and diagnosis. However, current wearable monitoring devices are bulky, uncomfortable, and typically rely on clinicians to manually evaluate electrocardiograms (ECGs). While Deep Learning (DL) algorithms have shown superior performance in arrhythmia detection and classification, their computational complexity coupled with high power consumption limit deployment in wearable devices. To address this challenge, this paper investigates the use of approximation techniques to reduce the power and energy consumption of DL architectures while maintaining acceptable classification performance. Specifically, techniques such as data precision reduction and approximate multiplication are investigated in a state-of-the-art DL model and its corresponding hardware architecture. The model is trained and validated using the MIT-BIH Arrhythmia Database, and hardware implementations employing various approximate multipliers are synthesized and evaluated. Compared with the state-of-the-art 8.75 μW (and 2.08 μJ) reference architecture, our proposed architecture consumes 3.07 μW (and 2.17 μJ) at 12 kHz, showing 64.9% reduction in power consumption while providing an acceptable output quality, i.e., 93.7% classification accuracy and 92.1% sensitivity. At 100 MHz, our proposed architecture consumes 9.45 mW (and 0.8 μJ), showing 61.5% reduction in energy consumption as compared to the state-of-the-art architecture. These results demonstrate that our proposed approximations significantly extend wearable device battery life while preserving the required arrhythmia classification performance.
Our work presents a method for ECG segmentation and arrhythmia detection using Tiny Machine Learning (TinyML) models for real-time, on-device inference on resource-constrained embedded systems. We develop INT8 quantized autoencoder-based TinyML models with minimal layers and parameters for embedded deployment. These models are evaluated using a custom dataset derived from the MIT-BIH Arrhythmia Database and validated in both PC-based simulations and on-device environments. For the evaluations, over 95,000 ECG segments are processed on an ESP32-S3 microcontroller running the TensorFlow Lite Micro runtime. Post-evaluation, detailed analysis, including annotation-wise and record-wise failure analysis, is conducted to characterize model behavior across diverse ECG morphologies and rhythm patterns and to explain missed detections. In several cases, apparent misclassifications may correspond to early or subtle anomaly patterns labeled as normal in the reference annotations, highlighting the model's sensitivity. A refined evaluation by filtering out ambiguous cases in the dataset shows that the best-performing DNN-based autoencoder achieves a recall of 84%, an F1-score of 79%, a model size of approximately 180 KB, and an inference latency of 9 ms on-device. These results demonstrate the feasibility of low-power, privacy-preserving embedded wearable systems capable of performing accurate arrhythmia detection entirely on-device.