Short-interval wireless schedulers must return a complete, feasible beam-and-resource allocation before each execution deadline, and a late or invalid output gives no utility in the current control cycle. Searching longer can increase transmitted traffic, but it may also miss the deadline or leave only an infeasible intermediate solution. We propose Feasibility-Preserving Transactional Refinement (FPTR), which always keeps a validated feasible allocation, the incumbent. Each refinement stage builds a separate candidate and leaves the incumbent unchanged. A candidate replaces the incumbent only if it is complete, passes the feasibility validator before its stage cutoff, and strictly improves the objective; otherwise it is discarded. Four refinement stages use this rule: buffer-aware resource selection, compatibility-group (CG) user sharing, beam-mask rebuilding from remaining demand, and joint reassignment of two resources. On 150 fixed synthetic instances, the full pipeline (Full) raises traffic by 3.83% on average over a lightweight beam-first reference and by 1.79% over its Base constructor. In a separate suite with matched inputs, Full exceeds six independent search baselines (ALNS, tabu search, GA, simulated annealing, iterated local search, and GRASP) by 6.68-8.35%, where outputs later than 100 ms receive zero utility. All 750 Full runs in the internal suite returned feasible allocations, and none exceeded 100 ms. Separating mandatory output construction from optional refinement lets spare computation time improve the allocation without endangering the incumbent. The open-source implementation supports independent reproduction.
Identifying the primary diagnosis alone does not fully characterize a model's diagnosis-generation performance. We introduce CardioVascBench, a retrospective benchmark for prioritized diagnosis generation from real-world Chinese cardiovascular inpatient records. It contains 3,262 de-identified cases, with 2,174 for training and 1,088 for evaluation, linking clinical narratives and textual ECG reports to expert-verified, ordered discharge diagnoses standardized to ICD-10. An English translation of the evaluation set supports aligned cross-lingual comparison. Our evaluation protocol combines terminology normalization and rank-aware scoring to separately assess primary-diagnosis identification, reference-diagnosis coverage, and list precision. Evaluation across 36 systems shows that higher primary-diagnosis accuracy does not necessarily imply higher list precision against discharge references. We also provide CardioKG-Agent, a knowledge-enhanced baseline combining entity normalization, constrained graph retrieval, and guideline evidence. In a staged comparison of three baseline models, supervised fine-tuning plus the agent achieves a 73.5% higher mean composite score than fine-tuning alone, representing a system-level gain. These results measure retrospective agreement with recorded diagnoses; agreement between metric rankings and physician judgments remains to be validated. CardioVascBench supports research on diagnosis prioritization and knowledge-enhanced generation.