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Cardio-mmFlow: A Gaussian-Prior-Free Physics-Informed Flow Matching Framework for Electrocardiogram to mmWave Radar Synthesis

Ziyang Liu, Ruiqiang Xiao, Chang Huang, KIEREN YU, Siyuan He, Kaishun WU

2026Year

Abstract

Continuous ECG monitoring is clinically valuable, but scaling it beyond electrodes to comfortable long-term use motivates contactless mmWave sensing. In practice, mmWave-to-ECG reconstruction is severely constrained by the scarcity of high-quality synchronized recordings. Therefore, we propose Cardio-mmFlow, a Gaussian-prior-free physics-informed flow matching framework that synthesizes mmWave radar signals from clinical ECG. It learns a direct transport trajectory between the latent manifolds of ECG and radar. Considering subject-dependent propagation differences, we incorporate a simplified mass--spring--damper inspired modulation and inject it into the flow dynamics via feature-wise linear modulation for personalization. Extensive experiments show that our system generates high fidelity radar data in both signal and latent domains. It significantly improves zero-shot downstream mmWave to ECG task, and enable Atrial Fibrillation classification with synthetic data. Further analyses evaluate the model interpretability.

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