Abstract: Highlights•We present the Conv-RGNN model. It incorporates the speciallydesigned Residual GNN (RGNN) blocks, which efficiently aggre-gate feature information across leads while integrating spatialrelationships, providing a more comprehensive perspective for ECG diagnosis.•The Conv blocks capture temporal features and address GNNs’ local feature extraction limitations, while the Pos-Atten module selectively enhances similar semantic features across positions by gathering contextual information.•Inter-patient experiments on two multi-label datasets and one single-label dataset demonstrate that Conv-RGNN surpasses other models in parameter efficiency, inference speed, performance, and robustness.
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