Beyond Local Inspection: Global, Guideline-Grounded Evaluation of Post-hoc XAI Methods for ECG Classification

Explainable AI (XAI) is used to assess whether artificial intelligence models rely on meaningful patterns, yet explanations that appear plausible for individual predictions may systematically misrepresent model behavior. This is particularly problematic in medicine, where models may rely on irrelevant signal characteristics rather than disease-specific patterns without being recognizable. We ad…