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Hauptverfasser: Zhu, Di, Wu, Yu Yvonne, Jia, Hong, Saeed, Aaqib, Kostakos, Vassilis, Dang, Ting
Format: Preprint
Veröffentlicht: 2026
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Online-Zugang:https://arxiv.org/abs/2605.29483
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author Zhu, Di
Wu, Yu Yvonne
Jia, Hong
Saeed, Aaqib
Kostakos, Vassilis
Dang, Ting
author_facet Zhu, Di
Wu, Yu Yvonne
Jia, Hong
Saeed, Aaqib
Kostakos, Vassilis
Dang, Ting
contents Wearable devices enable continuous monitoring of physiological signals such as ECG and PPG, but existing mHealth systems are largely limited to task-specific prediction pipelines or reactive question answering over static summaries. They lack the ability to support temporal reasoning, persistent physiological context, and proactive monitoring over long-term signal streams. We propose VitalAgent, a tool-augmented agentic framework for ECG/PPG-based mHealth that supports both reactive question answering and proactive monitoring. VitalAgent is built on a longitudinal physiological memory and a tool-augmented reasoning interface that enables dynamic computation over raw signals. We further introduce VitalBench, a longitudinal physiological monitoring benchmark dataset comprising 1,862 QA pairs for reactive question answering and 90.2 hours of continuous ECG/PPG recordings for proactive monitoring, covering cardiac, physical activity, and stress-related tasks. Experiments demonstrate that VitalAgent achieves over 30% improvement over prompt-based and ReAct baselines in reactive evaluation and supports proactive alert monitoring over long-term physiological signals, highlighting the importance of dynamic tool use and long-term physiological monitoring.
format Preprint
id arxiv_https___arxiv_org_abs_2605_29483
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data
Zhu, Di
Wu, Yu Yvonne
Jia, Hong
Saeed, Aaqib
Kostakos, Vassilis
Dang, Ting
Artificial Intelligence
Wearable devices enable continuous monitoring of physiological signals such as ECG and PPG, but existing mHealth systems are largely limited to task-specific prediction pipelines or reactive question answering over static summaries. They lack the ability to support temporal reasoning, persistent physiological context, and proactive monitoring over long-term signal streams. We propose VitalAgent, a tool-augmented agentic framework for ECG/PPG-based mHealth that supports both reactive question answering and proactive monitoring. VitalAgent is built on a longitudinal physiological memory and a tool-augmented reasoning interface that enables dynamic computation over raw signals. We further introduce VitalBench, a longitudinal physiological monitoring benchmark dataset comprising 1,862 QA pairs for reactive question answering and 90.2 hours of continuous ECG/PPG recordings for proactive monitoring, covering cardiac, physical activity, and stress-related tasks. Experiments demonstrate that VitalAgent achieves over 30% improvement over prompt-based and ReAct baselines in reactive evaluation and supports proactive alert monitoring over long-term physiological signals, highlighting the importance of dynamic tool use and long-term physiological monitoring.
title VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data
topic Artificial Intelligence
url https://arxiv.org/abs/2605.29483