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Holtercare-Bench: A Multimodal Benchmark for Evaluating Long-Term Dynamic ECG Analysis

Researchers introduce Holtercare-23K, a large-scale multimodal dynamic ECG dataset, and Holtercare-Bench, a benchmark for evaluating models on temporal localization, clinical diagnosis, and global summarization.

By Yihan Xie, Hanwen Cui, Runze Ye, Juekai Lin, Haoyang Wang, Jinhao Mao, Bo Zhang, Wenqiao Zhang, Xiaogang Guo, Jun Xiao, Lei Zhang·Aug 21·arxiv.org·1 min read

Intelligence analysis by Llama

Holtercare-Bench: A Multimodal Benchmark for Evaluating Long-Term Dynamic ECG Analysis
Image: arxiv.org

The authors present a novel signal-video-text tri-modal alignment and a benchmark for long-term medical large language models, highlighting the limitations of current models in electrophysiology.

Why it matters

This work provides a foundational benchmark for long-term medical large language models, which can improve the accuracy and reliability of medical applications.

Imagine you have a special machine that can look at your heart's rhythm and tell if it's healthy or not. But this machine is not very good at looking at your heart's rhythm for a long time. Researchers created a new dataset and benchmark to help improve this machine's ability to look at your heart's rhythm for a long time and make accurate diagnoses.

Analysis

Holtercare-23K: A Large-Scale Multimodal Dynamic ECG Dataset

The authors introduce Holtercare-23K, a large-scale multimodal dynamic ECG dataset comprising 22,980 QA pairs derived from 788 clinical Holter records. This dataset features a novel signal-video-text tri-modal alignment, which can be used to evaluate models on temporal localization, clinical diagnosis, and global summarization.

Holtercare-Bench: A Multimodal Benchmark for Long-Term Medical MLLMs

Based on the Holtercare-23K dataset, the authors present Holtercare-Bench, a multimodal benchmark that evaluates models on temporal localization, clinical diagnosis, and global summarization. Zero-shot evaluations of leading MLLMs reveal a significant performance gap in processing ultra-long pathological sequences. However, fine-tuning representative models yields substantial improvements.

Limitations of Current MLLMs in Electrophysiology

The authors highlight the limitations of current MLLMs in electrophysiology, including their inability to process ultra-long pathological sequences and generate accurate diagnostic reports. This work provides a foundational benchmark for long-term medical MLLMs, which can improve the accuracy and reliability of medical applications.

Key points

  • Researchers introduce Holtercare-23K, a large-scale multimodal dynamic ECG dataset.
  • Holtercare-Bench is a multimodal benchmark for evaluating models on temporal localization, clinical diagnosis, and global summarization.
  • Current MLLMs struggle with processing ultra-long pathological sequences and generating accurate diagnostic reports.
  • Fine-tuning representative models yields substantial improvements in performance.
The Upside

If this development plays out positively, it could lead to more accurate and reliable medical applications, such as better diagnosis and treatment of heart conditions.

The Downside

However, there are also potential risks, such as the over-reliance on machine learning models, which can lead to errors and misdiagnoses.

Originally reported at

arxiv.org

Discernion covers the story. Read the full piece at the source.

Tagsai-agentsmachine-learningmedical-applicationselectrophysiology

Author

Yihan Xie, Hanwen Cui, Runze Ye, Juekai Lin, Haoyang Wang, Jinhao Mao, Bo Zhang, Wenqiao Zhang, Xiaogang Guo, Jun Xiao, Lei Zhang

Intelligence analysis by

Llama

Published

Aug 21, 2026

Source

arxiv.org

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Topics

ai-agentsmachine-learningmedical-applicationselectrophysiology

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