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Paper · arXiv

Reasoning Before Diagnosis: Physician-Inspired Structured Thinking for ECG Classification

Electrocardiogram (ECG) diagnosis in clinical practice relies on structured reasoning over multiple hierarchical aspects, including cardiac rhythm, conduction properties, waveform morphology, and overall diagnostic impression. However, most existing approaches predict labels directly from ECG signals without explicit clinical reasoning, resulting in opaque decisions that lack clinical alignment. To bridge this gap, we propose CardioThink, a physician-inspired multimodal large language model (MLLM) framework that explicitly models the diagnostic reasoning process through human-interpretable intermediate stages (rhythm, conduction, morphology, and impression) to derive final classification ...

AuthorsYang Wu, Xiaoyan Yuan, Hau-San Wong et al.
Primary categorycs.AI
Published17 May 2026
Last updated at source17 May 2026
cs.AI
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