Foundation Model Artificial Intelligence for Electrocardiogram Detection of Rheumatic Mitral Stenosis

Background: Rheumatic mitral stenosis (RMS) disproportionately affects low-resource settings where echocardiography is limited. We evaluated foundation model (FM) feasibility for RMS detection using limited, indirectly labeled ECGs. Methods: An ECG-FM was fine-tuned using 804 RMS-positive ECGs per fold and externally validated across clinical and wearable lead configurations. Results: Internal AUROCs were 0.89, 0.87, and 0.87, for 12-Lead, 6-Lead, and 1-Lead respectively. External AUROCs were 0.82, 0.80, and 0.77. Performance remained comparable across demographic subgroups. Conclusions: FM fi

This content is for informational purposes only and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any disease. Consult a healthcare professional before starting any supplement, treatment, or program — especially if you are pregnant, nursing, taking medication, or managing a health condition.