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ECG-RSI: Recursive Self-Improvement through Targeted Electrocardiogram Waveform Evolution

Xiaoliang Wang Zhuo Chen Chuanyang Zheng Jiangwei Lao Quanbin Wang Honglin Lin Jiajia Liu Zhihong Lu Hao Jin Jian Wang Lijun Wu
Oct 2026
Artificial Intelligence Machine Learning

Abstract

Electrocardiogram (ECG) models need supervision that targets evolving weaknesses and remains faithful to waveform evidence. We introduce ECG-RSI, a recursive self-improvement framework combining verified waveform synthesis with feedback-guided intervention search. Signal remeasurement verifies waveform edits; construction errors guide generator repair, while learner errors motivate interventions compared on a separate selection set. Across seven benchmarks, three rounds raise Qwen3.5-35B-A3B's mean question-answering accuracy from 34.57% to 56.04% and mean classification F1 from 24.27 to 34.03. Across the retained trajectory, the preferred supervision shifts from direct reinforcement to confusion-focused contrasts. Continued feedback correction yields diminishing external gains. These results motivate separating error diagnosis from intervention selection and checking whether gains on the feedback set transfer to independent benchmarks.

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