diff --git a/apps/miniprogram/src/app.tsx b/apps/miniprogram/src/app.tsx
index 879dd81..7565dee 100644
--- a/apps/miniprogram/src/app.tsx
+++ b/apps/miniprogram/src/app.tsx
@@ -5,6 +5,7 @@ import ErrorBoundary from './components/ErrorBoundary';
 import { flushEvents } from './services/analytics';
 import { useAuthStore } from './stores/auth';
 import { useUIStore } from './stores/ui';
+import { useAlertPolling } from './hooks/useAlertPolling';
 import { migrateLegacyStorage } from './utils/secure-storage';
 import './app.scss';
 
@@ -19,6 +20,9 @@ function App({ children }: PropsWithChildren<Record<string, unknown>>) {
     restoreUI();
   });
 
+  // 告警轮询：登录态下自动监听 critical 告警
+  useAlertPolling();
+
   // 暴露全局 bridge 供 MCP/自动化测试调用（仅 dev 模式）
   useEffect(() => {
     if (process.env.NODE_ENV === 'production') return;
diff --git a/apps/miniprogram/src/hooks/useAlertPolling.ts b/apps/miniprogram/src/hooks/useAlertPolling.ts
new file mode 100644
index 0000000..34f7e10
--- /dev/null
+++ b/apps/miniprogram/src/hooks/useAlertPolling.ts
@@ -0,0 +1,123 @@
+import { useRef, useCallback } from 'react';
+import Taro from '@tarojs/taro';
+import { useDidShow, useDidHide } from '@tarojs/taro';
+import { requestUnlimited } from '@/services/request';
+import { useAuthStore } from '@/stores/auth';
+import type { Alert } from '@/services/alert';
+
+interface PollState {
+  generation: number;
+  timer: ReturnType<typeof setTimeout> | null;
+  failCount: number;
+  lastAlertCount: number;
+}
+
+const POLL_INTERVAL = 10_000;
+const MAX_FAILURES = 10;
+const FAIL_BACKOFF_BASE = 2000;
+const FAIL_BACKOFF_MAX = 30_000;
+
+/**
+ * App 级告警长轮询。
+ *
+ * - 登录态 + 有 patientId 时启动
+ * - 使用 requestUnlimited 走独立通道，不占并发槽位
+ * - generation counter 防止重叠
+ * - useDidShow/Hide 控制前后台
+ * - critical 告警弹窗提醒 + TabBar 角标
+ */
+export function useAlertPolling() {
+  const stateRef = useRef<PollState>({
+    generation: 0,
+    timer: null,
+    failCount: 0,
+    lastAlertCount: 0,
+  });
+
+  const patientId = useAuthStore((s) => s.currentPatient?.id);
+  const isLoggedIn = useAuthStore((s) => !!s.user);
+  const enabled = isLoggedIn && !!patientId;
+
+  const poll = useCallback(async (gen: number, failCount: number) => {
+    const s = stateRef.current;
+    if (gen !== s.generation) return;
+    if (failCount >= MAX_FAILURES) return;
+
+    try {
+      const pid = useAuthStore.getState().currentPatient?.id;
+      if (!pid) return;
+
+      const res = await requestUnlimited<{ data: Alert[]; total: number }>(
+        'GET',
+        `/health/alerts?patient_id=${pid}&status=pending&severity=critical&page=1&page_size=5`,
+        undefined,
+        8000,
+      );
+
+      if (gen !== s.generation) return;
+
+      const count = res.total ?? 0;
+
+      // TabBar 角标
+      try {
+        if (count > 0) {
+          Taro.setTabBarBadge({ index: 2, text: String(count) });
+        } else {
+          Taro.removeTabBarBadge({ index: 2 });
+        }
+      } catch { /* TabBar 可能不存在 */ }
+
+      // 告警数量增加时弹窗提醒
+      if (count > s.lastAlertCount) {
+        Taro.showModal({
+          title: '健康告警',
+          content: `您有 ${count} 条待处理的危急值告警，请及时关注`,
+          showCancel: false,
+          confirmText: '知道了',
+        });
+      }
+      s.lastAlertCount = count;
+
+      failCount = 0;
+    } catch {
+      failCount++;
+    }
+
+    if (gen !== s.generation) return;
+    const delay = failCount > 0 ? Math.min(failCount * FAIL_BACKOFF_BASE, FAIL_BACKOFF_MAX) : POLL_INTERVAL;
+    s.timer = setTimeout(() => {
+      if (gen === s.generation) poll(gen, failCount);
+    }, delay);
+  }, []);
+
+  const start = useCallback(() => {
+    const s = stateRef.current;
+    s.generation++;
+    s.failCount = 0;
+    if (s.timer) { clearTimeout(s.timer); s.timer = null; }
+    poll(s.generation, 0);
+  }, [poll]);
+
+  const stop = useCallback(() => {
+    const s = stateRef.current;
+    s.generation++;
+    if (s.timer) { clearTimeout(s.timer); s.timer = null; }
+    try { Taro.removeTabBarBadge({ index: 2 }); } catch { /* ignore */ }
+  }, []);
+
+  useDidShow(() => {
+    if (enabled) start();
+  });
+
+  useDidHide(() => {
+    stop();
+  });
+
+  // enabled 变化时启停
+  const prevEnabledRef = useRef(enabled);
+  if (enabled !== prevEnabledRef.current) {
+    prevEnabledRef.current = enabled;
+    if (enabled) start();
+    else stop();
+  }
+}
diff --git a/apps/miniprogram/src/pages/health/index.tsx b/apps/miniprogram/src/pages/health/index.tsx
index 7e6014a..14aed5b 100644
--- a/apps/miniprogram/src/pages/health/index.tsx
+++ b/apps/miniprogram/src/pages/health/index.tsx
@@ -64,15 +64,15 @@ export default function Health() {
     if (!thresholds.length) return null;
     const th = thresholds;
     if (type === 'blood_pressure') {
-      const v = th.find((t) => t.indicator_name === 'systolic_bp' && t.severity === 'high');
+      const v = th.find((t) => t.indicator === 'systolic_bp' && t.level === 'high');
       return v?.threshold_value ?? 140;
     }
     if (type === 'heart_rate') {
-      const v = th.find((t) => t.indicator_name === 'heart_rate' && t.severity === 'high');
+      const v = th.find((t) => t.indicator === 'heart_rate' && t.level === 'high');
       return v?.threshold_value ?? 100;
     }
     if (type === 'blood_sugar') {
-      const v = th.find((t) => t.indicator_name === 'blood_sugar_fasting' && t.severity === 'high');
+      const v = th.find((t) => t.indicator === 'blood_sugar_fasting' && t.level === 'high');
       return v?.threshold_value ?? 6.1;
     }
     return null;
diff --git a/apps/miniprogram/src/pages/health/useHealthOverview.ts b/apps/miniprogram/src/pages/health/useHealthOverview.ts
index 7e5abfa..07bb035 100644
--- a/apps/miniprogram/src/pages/health/useHealthOverview.ts
+++ b/apps/miniprogram/src/pages/health/useHealthOverview.ts
@@ -74,14 +74,13 @@ export function useHealthOverview() {
   };
 
   const fetchData = async () => {
-    const results = await Promise.allSettled([
+    await Promise.allSettled([
       refreshToday(),
       loadTrend(activeTab),
       loadAiSuggestions(),
       loadAlertCount(),
       getHealthThresholds().then((t) => { if (t.length > 0) setThresholds(t); }),
     ]);
-    return results;
   };
 
   usePageData(fetchData, {