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June 1, 2026Frontiers in Bioengineering and Biotechnology0 citationsOpen Access

KAN-Former: a lightweight ECG model for real-time atrial fibrillation detection on wearable devices

KWKaixuan WangGWGuozhen WangZWZhiyong Wu

Key Result

KAN-Former achieved accuracies of 94.5% and 94.6% on PhysioNet 2017 and CPSC 2018 datasets respectively, with only 1.16M parameters and 3.8 ms latency, outperforming state-of-the-art models.

Key Points

  • This research aims to develop a lightweight model for effective real-time detection of atrial fibrillation using ECG data from wearable devices.
  • Proposed KAN-Former model incorporates a multi-scale convolutional front-end and a transformer module.
  • Conducted tests on PhysioNet 2017 and CPSC 2018 datasets to assess model performance.
  • Evaluated the model's scalability through aggressive pruning and INT8 quantization techniques.
  • KAN-Former achieved accuracies of 94.5% and 94.6% on the respective datasets.
  • The model operates with only 1.16M parameters and a latency of 3.8 ms.
  • Accuracy degradation remains under 0.5% even after aggressive pruning and quantization.

Structured PICO

Does KAN-Former improve real-time atrial fibrillation detection accuracy and efficiency on wearable devices compared to existing models?

P
Population
ECG datasets (PhysioNet 2017 and CPSC 2018) for atrial fibrillation detection
I
Intervention
KAN-Former, a lightweight hybrid ECG classification model
C
Comparator
State-of-the-art lightweight models
O
Outcome
Accuracy, parameter count, and inference latency

KAN-Former is a highly accurate and computationally efficient model for real-time atrial fibrillation detection on wearable devices.

Limitations

  • Requires validation on long-term ambulatory ECG data
  • Needs extension to multi-class arrhythmia diagnosis
  • Requires further optimization for low-power microcontrollers

Abstract

Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia and a major contributor to stroke and heart failure. Continuous monitoring using wearable electrocardiogram (ECG) devices enables early detection, but deploying deep learning models on resource-constrained platforms remains challenging due to limited computation and stringent real-time latency requirements. To address these challenges, we propose KAN-Former, a lightweight hybrid ECG classification model. KAN-Former consists of: (1) a multi-scale convolutional front-end enhanced with channel attention to capture morphological details across different temporal resolutions; (2) a Nyström-approximated Transformer module that models global temporal dependencies with linear complexity; (3) a time–frequency feed-forward network that refines spectro-temporal rhythm representations; and (4) a sparsity-optimized residual KAN classifier that improves representational efficiency and reduces parameter count. Experimental results on PhysioNet 2017 and CPSC 2018 demonstrate that KAN-Former achieves accuracies of 94.5% and 94.6%, respectively, with only 1.16M parameters and an inference latency of 3.8 ms, outperforming state-of-the-art lightweight models while maintaining real-time on-device performance. Furthermore, even under aggressive pruning and INT8 quantization, the accuracy degradation remains below 0.5%, confirming the scalability of KAN-Former for wearable AF screening.

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Cite This Study

Wang et al. (2026) studied Atrial fibrillation (n=15,405). KAN-Former vs. Other lightweight ECG models was evaluated on Accuracy for atrial fibrillation detection. KAN-Former achieved accuracies of 94.5% and 94.6% on PhysioNet 2017 and CPSC 2018 datasets respectively, with only 1.16M parameters and 3.8 ms latency, outperforming state-of-the-art models.

synapsesocial.com/papers/6a1d20f302fbce9130637394https://doi.org/10.3389/fbioe.2026.1824364
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