diff --git a/docs/api/datasets.rst b/docs/api/datasets.rst
index b02439d26..33cacc504 100644
--- a/docs/api/datasets.rst
+++ b/docs/api/datasets.rst
@@ -245,3 +245,4 @@ Available Datasets
     datasets/pyhealth.datasets.TCGAPRADDataset
     datasets/pyhealth.datasets.splitter
     datasets/pyhealth.datasets.utils
+    pyhealth.datasets.ptbxl
diff --git a/docs/api/datasets/pyhealth.datasets.ptbxl.rst b/docs/api/datasets/pyhealth.datasets.ptbxl.rst
new file mode 100644
index 000000000..dc43ce9ee
--- /dev/null
+++ b/docs/api/datasets/pyhealth.datasets.ptbxl.rst
@@ -0,0 +1,7 @@
+pyhealth.datasets.ptbxl
+=======================
+
+.. autoclass:: pyhealth.datasets.PTBXLDataset
+   :members:
+   :undoc-members:
+   :show-inheritance:
\ No newline at end of file
diff --git a/docs/api/tasks.rst b/docs/api/tasks.rst
index 399b8f1aa..f63df4596 100644
--- a/docs/api/tasks.rst
+++ b/docs/api/tasks.rst
@@ -229,3 +229,4 @@ Available Tasks
     Mutation Pathogenicity (COSMIC) <tasks/pyhealth.tasks.MutationPathogenicityPrediction>
     Cancer Survival Prediction (TCGA) <tasks/pyhealth.tasks.CancerSurvivalPrediction>
     Cancer Mutation Burden (TCGA) <tasks/pyhealth.tasks.CancerMutationBurden>
+    PTB-XL MI Classification <tasks/pyhealth.tasks.ptbxl_mi_classification>
\ No newline at end of file
diff --git a/docs/api/tasks/pyhealth.tasks.ptbxl_mi_classification.rst b/docs/api/tasks/pyhealth.tasks.ptbxl_mi_classification.rst
new file mode 100644
index 000000000..a4495c3be
--- /dev/null
+++ b/docs/api/tasks/pyhealth.tasks.ptbxl_mi_classification.rst
@@ -0,0 +1,7 @@
+pyhealth.tasks.ptbxl_mi_classification
+======================================
+
+.. autoclass:: pyhealth.tasks.PTBXLMIClassificationTask
+   :members:
+   :undoc-members:
+   :show-inheritance:
\ No newline at end of file
diff --git a/examples/ptbxl_mi_classification_cnn.py b/examples/ptbxl_mi_classification_cnn.py
new file mode 100644
index 000000000..28f3d0723
--- /dev/null
+++ b/examples/ptbxl_mi_classification_cnn.py
@@ -0,0 +1,27 @@
+from pyhealth.datasets import PTBXLDataset
+from pyhealth.tasks import PTBXLMIClassificationTask
+import os
+
+def main():
+    root = os.path.expanduser(
+        "~/Downloads/ptb-xl-a-large-publicly-available-electrocardiography-dataset-1.0.3"
+    )
+    dataset = PTBXLDataset(
+        root=root,
+        dev=True,
+        use_high_resolution=False,  # False -> records100, True -> records500
+    )
+
+    task = PTBXLMIClassificationTask(
+        root=root,
+        signal_length=1000,   # 10 seconds at 100 Hz
+        normalize=True,
+    )
+    task_dataset = dataset.set_task(task)
+
+    print(task_dataset[0])
+    print(f"Number of samples: {len(task_dataset)}")
+
+
+if __name__ == "__main__":
+    main()
\ No newline at end of file
diff --git a/pyhealth/datasets/__init__.py b/pyhealth/datasets/__init__.py
index 54e77670c..e00bb968c 100644
--- a/pyhealth/datasets/__init__.py
+++ b/pyhealth/datasets/__init__.py
@@ -90,3 +90,4 @@ def __init__(self, *args, **kwargs):
     save_processors,
 )
 from .collate import collate_temporal
+from .ptbxl import PTBXLDataset
\ No newline at end of file
diff --git a/pyhealth/datasets/ptbxl.py b/pyhealth/datasets/ptbxl.py
new file mode 100644
index 000000000..00102d948
--- /dev/null
+++ b/pyhealth/datasets/ptbxl.py
@@ -0,0 +1,49 @@
+import os
+from typing import Optional
+
+import dask.dataframe as dd
+import pandas as pd
+
+from pyhealth.datasets import BaseDataset
+
+
+class PTBXLDataset(BaseDataset):
+    """PTB-XL ECG dataset represented as an event table."""
+
+    def __init__(
+        self,
+        root: str,
+        dataset_name: Optional[str] = "PTBXL",
+        dev: bool = False,
+        cache_dir: Optional[str] = None,
+        num_workers: int = 1,
+        use_high_resolution: bool = False,
+    ):
+        self.use_high_resolution = use_high_resolution
+        super().__init__(
+            root=root,
+            tables=["ptbxl"],
+            dataset_name=dataset_name,
+            cache_dir=cache_dir,
+            num_workers=num_workers,
+            dev=dev,
+        )
+
+    def load_data(self) -> dd.DataFrame:
+        metadata_path = os.path.join(self.root, "ptbxl_database.csv")
+        df = pd.read_csv(metadata_path)
+
+        record_path_col = "filename_hr" if self.use_high_resolution else "filename_lr"
+
+        event_df = pd.DataFrame(
+            {
+                "patient_id": df["patient_id"].astype(str),
+                "event_type": "ptbxl",
+                "timestamp": pd.NaT,
+                "ptbxl/ecg_id": df["ecg_id"],
+                "ptbxl/record_path": df[record_path_col],
+                "ptbxl/scp_codes": df["scp_codes"],
+            }
+        )
+
+        return dd.from_pandas(event_df, npartitions=1)
\ No newline at end of file
diff --git a/pyhealth/tasks/__init__.py b/pyhealth/tasks/__init__.py
index 797988377..0e9b70b15 100644
--- a/pyhealth/tasks/__init__.py
+++ b/pyhealth/tasks/__init__.py
@@ -66,3 +66,4 @@
     VariantClassificationClinVar,
 )
 from .patient_linkage_mimic3 import PatientLinkageMIMIC3Task
+from .ptbxl_mi_classification import PTBXLMIClassificationTask
\ No newline at end of file
diff --git a/pyhealth/tasks/ptbxl_mi_classification.py b/pyhealth/tasks/ptbxl_mi_classification.py
new file mode 100644
index 000000000..552563fa8
--- /dev/null
+++ b/pyhealth/tasks/ptbxl_mi_classification.py
@@ -0,0 +1,135 @@
+"""PTBXL MI classification task for PyHealth.
+
+This module defines a task that loads PTB-XL ECG records, maps SCP
+diagnostic codes to myocardial infarction (MI) labels, and returns one
+binary-labeled sample per record.
+"""
+
+import ast
+import os
+from typing import Dict, List
+
+import numpy as np
+import pandas as pd
+import wfdb
+
+from pyhealth.tasks import BaseTask
+
+
+class PTBXLMIClassificationTask(BaseTask):
+    """Task for classifying myocardial infarction (MI) in PTB-XL ECG records.
+
+    This task converts the PTB-XL SCP diagnostic codes into a binary MI label
+    and loads the corresponding ECG signal for each record.
+
+    Attributes:
+        task_name (str): The name of the task.
+        input_schema (Dict[str, str]): Input schema mapping signal to tensor.
+        output_schema (Dict[str, str]): Output schema mapping label to binary.
+    """
+
+    task_name = "ptbxl_mi_classification"
+    input_schema = {
+        "signal": "tensor",
+    }
+    output_schema = {
+        "label": "binary",
+    }
+
+    def __init__(
+        self,
+        root: str,
+        signal_length: int = 1000,
+        normalize: bool = True,
+    ):
+        """Initialize the PTBXL MI classification task.
+
+        Args:
+            root: PTB-XL dataset root directory containing `scp_statements.csv`.
+            signal_length: Number of samples to use for each ECG signal.
+            normalize: Whether to z-score normalize each ECG channel.
+        """
+
+        self.root = root
+        self.signal_length = signal_length
+        self.normalize = normalize
+
+        scp_path = os.path.join(self.root, "scp_statements.csv")
+        scp_df = pd.read_csv(scp_path, index_col=0)
+        self.mi_codes = set(
+            scp_df[scp_df["diagnostic_class"] == "MI"].index.astype(str).tolist()
+        )
+
+    def _load_ecg_signal(self, record_rel_path: str) -> np.ndarray:
+        """Loads a PTB-XL WFDB record and returns shape (12, signal_length)."""
+        record_path = os.path.join(self.root, record_rel_path)
+
+        # WFDB expects the record path without file extension.
+        signal, _ = wfdb.rdsamp(record_path)
+
+        # rdsamp returns shape (num_samples, num_channels)
+        signal = signal.T.astype(np.float32)  # -> (channels, time)
+
+        if self.normalize:
+            mean = signal.mean(axis=1, keepdims=True)
+            std = signal.std(axis=1, keepdims=True)
+            std = np.where(std < 1e-6, 1.0, std)
+            signal = (signal - mean) / std
+
+        current_len = signal.shape[1]
+        if current_len >= self.signal_length:
+            signal = signal[:, : self.signal_length]
+        else:
+            pad_width = self.signal_length - current_len
+            signal = np.pad(signal, ((0, 0), (0, pad_width)), mode="constant")
+
+        return signal
+
+    def __call__(self, patient) -> List[Dict]:
+        """Generate PTB-XL MI samples from a patient record.
+
+        Args:
+            patient: Patient object containing PTB-XL event data.
+
+        Returns:
+            A list of sample dictionaries with keys:
+                - patient_id
+                - visit_id
+                - record_id
+                - signal
+                - label
+        """
+
+        samples = []
+
+        rows = patient.data_source.to_dicts()
+
+        for idx, row in enumerate(rows):
+            raw_label = row["ptbxl/scp_codes"]
+            record_rel_path = row["ptbxl/record_path"]
+
+            try:
+                scp_codes = (
+                    ast.literal_eval(raw_label)
+                    if isinstance(raw_label, str)
+                    else raw_label
+                )
+            except (ValueError, SyntaxError):
+                scp_codes = {}
+
+            label = 1 if any(code in self.mi_codes for code in scp_codes.keys()) else 0
+            signal = self._load_ecg_signal(record_rel_path)
+
+            visit_id = str(row["ptbxl/ecg_id"])
+
+            samples.append(
+                {
+                    "patient_id": patient.patient_id,
+                    "visit_id": visit_id,
+                    "record_id": idx + 1,
+                    "signal": signal.tolist(),
+                    "label": label,
+                }
+            )
+
+        return samples
\ No newline at end of file
diff --git a/tests/core/test_ptbxl_dataset.py b/tests/core/test_ptbxl_dataset.py
new file mode 100644
index 000000000..111599494
--- /dev/null
+++ b/tests/core/test_ptbxl_dataset.py
@@ -0,0 +1,36 @@
+import os
+import tempfile
+import unittest
+
+from pyhealth.datasets import PTBXLDataset
+
+
+class TestPTBXLDataset(unittest.TestCase):
+    def test_load_data_dev_mode(self):
+        with tempfile.TemporaryDirectory() as tmpdir:
+            csv_path = os.path.join(tmpdir, "ptbxl_database.csv")
+
+            with open(csv_path, "w") as f:
+                f.write("ecg_id,patient_id,filename_lr,filename_hr,scp_codes\n")
+                f.write('1,100,records100/00000/00001_lr,records500/00000/00001_hr,"{\'MI\': 1}"\n')
+                f.write('2,101,records100/00000/00002_lr,records500/00000/00002_hr,"{\'NORM\': 1}"\n')
+
+            dataset = PTBXLDataset(
+                root=tmpdir,
+                dev=True,
+            )
+
+            df = dataset.load_data().compute()
+
+            self.assertEqual(len(df), 2)
+            self.assertIn("patient_id", df.columns)
+            self.assertIn("event_type", df.columns)
+            self.assertIn("ptbxl/ecg_id", df.columns)
+            self.assertIn("ptbxl/record_path", df.columns)
+            self.assertIn("ptbxl/scp_codes", df.columns)
+            self.assertEqual(str(df.iloc[0]["patient_id"]), "100")
+            self.assertEqual(df.iloc[0]["event_type"], "ptbxl")
+
+
+if __name__ == "__main__":
+    unittest.main()
\ No newline at end of file
diff --git a/tests/core/test_ptbxl_mi_classification.py b/tests/core/test_ptbxl_mi_classification.py
new file mode 100644
index 000000000..dee838d19
--- /dev/null
+++ b/tests/core/test_ptbxl_mi_classification.py
@@ -0,0 +1,63 @@
+import os
+import tempfile
+import unittest
+from unittest.mock import patch
+
+import numpy as np
+import pandas as pd
+import polars as pl
+
+from pyhealth.tasks.ptbxl_mi_classification import PTBXLMIClassificationTask
+from pyhealth.data import Patient
+
+
+class TestPTBXLTask(unittest.TestCase):
+    @patch.object(PTBXLMIClassificationTask, "_load_ecg_signal")
+    def test_mi_label_extraction(self, mock_load_signal):
+        mock_load_signal.return_value = np.zeros((12, 1000), dtype=np.float32)
+
+        with tempfile.TemporaryDirectory() as tmpdir:
+            scp_path = os.path.join(tmpdir, "scp_statements.csv")
+
+            # minimal synthetic SCP mapping
+            scp_df = pd.DataFrame(
+                {
+                    "diagnostic_class": ["MI", "NORM"],
+                },
+                index=["IMI", "NORM"],
+            )
+            scp_df.to_csv(scp_path)
+
+            df = pd.DataFrame(
+                {
+                    "patient_id": ["1", "1"],
+                    "event_type": ["ptbxl", "ptbxl"],
+                    "timestamp": [None, None],
+                    "ptbxl/ecg_id": [100, 101],
+                    "ptbxl/record_path": [
+                        "records100/00000/00001_lr",
+                        "records100/00000/00002_lr",
+                    ],
+                    "ptbxl/scp_codes": [
+                        "{'IMI': 1}",
+                        "{'NORM': 1}",
+                    ],
+                }
+            )
+
+            patient = Patient(
+                patient_id="1",
+                data_source=pl.from_pandas(df),
+            )
+
+            task = PTBXLMIClassificationTask(root=tmpdir)
+            samples = task(patient)
+
+            self.assertEqual(len(samples), 2)
+            self.assertEqual(samples[0]["label"], 1)
+            self.assertEqual(samples[1]["label"], 0)
+            self.assertEqual(np.array(samples[0]["signal"]).shape, (12, 1000))
+
+
+if __name__ == "__main__":
+    unittest.main()
\ No newline at end of file