For every Physionet database (https://www.physionet.org/cgi-bin/atm/ATM), if you want to download annotations for a specific file, you can choose the option "Show the annotations as text" in the field "Toolbox" and donwnload a .txt file which can be then imported to Matlab. If you choose "Export signals as .mat" in the same field, you can obtain the corresponding signals as well.