Heartcare Suite: Multi-dimensional Understanding of ECG with Raw Multi-lead Signal Modeling

Abstract: We present Heartcare Suite, a multimodal comprehensive framework for finegrained electrocardiogram (ECG) understanding. It comprises three key components: (i) Heartcare-220K, a high-quality, structured, and comprehensive multimodal ECG dataset covering essential tasks such as disease diagnosis, waveform morphology analysis, and rhythm interpretation. (ii) Heartcare-Bench, a systematic and multi-dimensional benchmark designed to evaluate diagnostic intelligence and guide the optimization of Medical Multimodal LLMs (Med-MLLMs) in ECG scenarios. and (iii) HeartcareGPT with a tailored tokenizer Bidirectional ECG Abstract Tokenization (Beat), which compresses raw multi-lead signals into semantically rich discrete tokens via duallevel vector quantization and query-guided bidirectional diffusion mechanism. Built upon Heartcare-220K, HeartcareGPT achieves strong generalization and SoTA performance across multiple clinically meaningful tasks. Extensive experiments demonstrate that Heartcare Suite is highly effective in advancing ECGspecific multimodal understanding and evaluation. Our project is available at https://github.com/DCDmllm/Heartcare-Suite .