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This research demonstrates that aligning tokenization strategies with specific ECG morphology significantly enhances predictive performance and reduces memory overhead in transformer-based models. By optimizing how physiological data is segmented, the study achieves substantial efficiency gains without requiring larger model backbones, offering a practical path forward for resource-constrained medical AI applications. The findings provide concrete evidence that architectural choices like token construction are critical levers for improving both accuracy and scalability in specialized machine learning domains.
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On the role of the tokenizer in ECG transformer models

arXiv2 min read

arXiv:2609.15433v1 Announce Type: cross Abstract: Tokenization determines both the physiological content presented to an ECG Transformer and the sequence over which attention operates. We compare eight tokenization strategies across Transformer, Informer, Reformer, and FEDformer on the nine-label CPSC2018 classification task. The input projection and principal backbone capacity are controlled to isolate the effect of token construction. Median-beat and HeartLang tokenization achieve mean macro-AUCs of 0.893 and 0.889 across the four backbones, compared with 0.822 and 0.824 for point-wise and patch-wise tokenization. Pooling the two physiology-aware representations yields an 8.2% relative improvement in macro-AUC. They also reduce mean sequence length from 1,250 to 158 tokens and mean peak training memory from 5.21 to 0.27 GB. The results show that aligning tokens with ECG morphology can improve both predictive performance and memory efficiency without increasing backbone capacity. The source code is available on https://github.com/LeeJarvis996/ecg_tokenizer.

Abstract:Tokenization determines both the physiological content presented to an ECG Transformer and the sequence over which attention operates. We compare eight tokenization strategies across Transformer, Informer, Reformer, and FEDformer on the nine-label CPSC2018 classification task. The input projection and principal backbone capacity are controlled to isolate the effect of token construction. Median-beat and HeartLang tokenization achieve mean macro-AUCs of 0.893 and 0.889 across the four backbones, compared with 0.822 and 0.824 for point-wise and patch-wise tokenization. Pooling the two physiology-aware representations yields an 8.2% relative improvement in macro-AUC. They also reduce mean sequence length from 1,250 to 158 tokens and mean peak training memory from 5.21 to 0.27 GB. The results show that aligning tokens with ECG morphology can improve both predictive performance and memory efficiency without increasing backbone capacity. The source code is available on this https URL.

Machine Learning (cs.LG); Artificial Intelligence (cs.AI)

arXiv:2609.15433 [cs.LG]

(or arXiv:2609.15433v1 [cs.LG] for this version)

https://doi.org/10.48550/arXiv.2609.15433 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 236 words

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