VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data
Di Zhu, Yu Yvonne Wu, Hong Jia, Aaqib Saeed, Vassilis Kostakos, Ting Dang
Wearable devices provide continuous access to physiological signals such as ECG and PPG, offering a path to answering users' questions about their own physiological state and to early detection of cardiac and physiological abnormalities. Yet existing mobile health (mHealth) systems are largely limited to task-specific prediction pipelines or reactive question answering over static summaries. They lack the temporal reasoning, persistent physiological context, and proactive monitoring required for long-term signal streams. To advance this setting, we introduce VitalBench, a longitudinal physiological monitoring benchmark 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. Building on this resource, 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. Experiments demonstrate that VitalAgent achieves over 25 points absolute improvement over prompt-based and agentic baselines in reactive evaluation and enables proactive alert monitoring over long-term physiological signals, pointing toward mHealth systems that can both answer questions about and continuously monitor a person's physiological state beyond the clinic.
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