cardiology device developers

Abstract: Radar heart sounds capture cardiac mechanical activity without contact, while echocardiography characterizes ventricular and valvular function. Paired measurements connect these signals to structural heart disease, yet such data remain sparsely represented in public resources. Here we present 537 radar heart-sound recordings paired with one echocardiographic report for each of 162 patients. The cohort covers three overlapping phenotypes: left ventricular ejection fraction (LVEF) below 50%, regional wall-motion abnormality and at least moderate valvular regurgitation, present in 38, 43 and 39 patients, respectively. Original complex signals, processed radar heart sounds and temporal quality segmentation support signal-to-phenotype analysis. Technical validation retains 95.93% of signal duration and confirms reproducible waveform reconstruction. Patient-level five-fold evaluation achieves a mean outer-test AUROC of $0.770\pm0.138$ for reduced LVEF, identifying mechanical information associated with ventricular systolic dysfunction. This resource supports research linking non-contact cardiac mechanical signals to echocardiographic structural and functional phenotypes.

Abstract: Multimodal large language models (MLLMs) can now interpret a standard ten-second, twelve-lead electrocardiogram (ECG) with clinically grounded, reward-verified reasoning. Real cardiac monitoring is different. Ambulatory (Holter) and telemetry recordings span hours to days and are read as they stream in, and their clinically decisive findings are paroxysmal, brief episodes buried in an otherwise unremarkable trace. Such a recording cannot be held in one context at diagnostic resolution, and its future has not yet happened, so a reader must work online, deciding what to measure now, committing evidence to memory as it passes, and reporting events as they occur. We recast long-duration ECG interpretation as a long-horizon, online (streaming, causal) sequential decision process and introduce ECG-Scroll. As a benchmark, long ambulatory recordings are streamed to an agent chunk by chunk, and it must localize, quantify, and promptly flag paroxysmal events without access to future signal; because the underlying signal is retained, every answer is checkable against objective ground truth, giving rule-based rather than judge-based rewards, and the streaming formulation adds a metric batch evaluation cannot express, the detection latency between an event's onset and the moment the agent records it. As an agent environment, it is a fixed, gym-style interaction layer that exercises three competencies single-glance ECG models never touch: Memory, Tool use through signal-grounded measurement rather than reading pixels, and Planning of what to measure now and when to commit. We release 390 whole-recording instances spanning 2,536 hours of two-lead ambulatory ECG and evaluate a signal-threshold rule agent alongside off-the-shelf LLM agents online, characterizing how they use memory, tools, and planning and where the benchmark's head-room lies.