“…First, some manipulations can be applied on initial data, such as random scaling, flipping, shifting, and noising ECG, to achieve accurate detection of multiple arrhythmias ( Vicar et al, 2020 ; Nonaka and Seita, 2021 ; Do et al, 2022 ). The same application can profit from using the synthetic samples generated from the training ones using intuitive adaptive synthetic data sampling (ADASYN, Virgeniya and Ramaraj, 2021 ) or synthetic minority oversampling technique (SMOTE, Ketu and Mishra, 2021 ). Data samples can be generated artificially by specially trained ML or DL models (such as Gaussian mixture model (GMM), generative adversarial network (GAN), LSTM/biLSTM, CNN), as has been shown for time-series ECG (including dependent multichannel signals) and 2D spectrogram applications (e.g., Lima et al, 2019 ; Brophy, 2020 ; Hatamian et al, 2020 ; Hazra and Byun, 2020 ).…”