scholarly journals Towards Development of a Low Cost and Portable ECG Monitoring System for Rural/Remote Areas of Bangladesh

Author(s):  
Sayed Tanvir Alam ◽  
◽  
Md. Moin Hossain ◽  
Md. Kafiul Islam ◽  
Mohammad Dehan Rahman
Author(s):  
Hassan Ali ◽  
Ben Ernest Villaneouva ◽  
Raziq Yaqub

Due to the rising number of heart patients and the apparent need for more robust electrocardiogram (ECG) monitoring of these patients, hospitals are increasingly investing in typical cloud technology or centralized hospital server based remote ECG monitoring systems. However, the deployment these systems in rural communities is limited due to the high cost factor. To counter this challenge, in this paper, we focus on the design and implementation of a low cost real time wireless ambulatory ECG monitoring system. The detected ECG signals are first filtered and amplified and then digitally converted by a microcontroller. The digitized ECG signals are then sent over a ZigBee wireless link to a gateway personal computer (PC) at patient’s premises. The received ECG data from the ZigBee connection is displayed in real time via the National Instruments (NI) Laboratory Virtual Instrument Engineering Workbench (LabVIEW) user interface on the PC for instant personalized evaluation of the ECG data. The ECG data can be saved on the PC and sent via email to a remote cardiologist or a clinician. Additionally, the gateway PC at patient’s end acts as web server for sharing patient’s data over the Internet.  The remote off-site physician (medical staff in a hospital) can use a web browser on a PC, laptop or a mobile phone with Internet connection to access patient’s real time ECG trace for monitoring, expert review and diagnosis. It is shown that the system prototype allows users to acquire reliable ECG signals effectively and simply. The proposed ambulatory ECG system offers an alternative low cost deployment strategy and is especially suited for remote cardiac monitoring of patients in rural communities.


Electronics ◽  
2021 ◽  
Vol 10 (16) ◽  
pp. 1871
Author(s):  
Hassan Ali ◽  
Hein Htet Naing ◽  
Raziq Yaqub

The absence of cardiovascular disease (CVD) diagnostic and management solutions cause significant morbidity among populations in rural areas and the coronavirus disease of 2019 (COVID-19) emergency. To tackle this problem, in this paper, the development of an Internet of things (IoT) assisted ambulatory electrocardiogram (ECG) monitoring system is presented. The system’s wearable single-channel data acquisition device supports 25 h of continuous operation. A right leg drive (RLD) circuit supported analog frontend (AFE) with a high common mode rejection ratio (CMRR) of 121 dB and a digitally implemented notch filter is used to suppress power-line frequency interference. The wearable device continuously sends the collected ECG data via Bluetooth to the user’s smartphone. An application on the user’s smartphone renders real-time ECG trace and heart rate and detects abnormal heart rhythms. This data are then shared in real-time with the user’s doctor via a real-time cloud database. An application on the doctor’s smartphone allows real-time visualization of this data and detection of arrhythmias. Simulations and experimental results demonstrate that reliable ECG signals can be captured with low latency and the heart rate computation is comparable to a commercial application. Low cost, scalability, low latency, real-time ECG monitoring, and improved performance of the system make the system highly suitable for the real-time remote identification and management of CVDs in users of rural areas and in the COVID-19 pandemic.


Author(s):  
Uma Arun ◽  
Natarajan Sriraam

Recent advancement in wearable technology has created a huge impact in healthcare delivery and clinical diagnosis. Remote access of physiological, vital parameters from patients and improvement in their day-to-day quality of life were the significant indicators due to this availability of wearable technology. Though wearable physiological monitoring systems for long-term monitoring of Electro cardiogram (ECG) were developed at high-cost involvement, there is a huge need for such technology for resource-constrained settings, at a low cost. This chapter suggests a wearable ECG monitoring system by making use of single channel textile sensors for screening of cardiac episodes. The proposed Cardiac signal framework (CARDIF) with chest textile-based sensors ensures the required qualitative signal for clinical assessment and the evaluation of fidelity measures confirms its suitability for early screening of cardiac episodes. The proposed CARDIF framework involves low-cost design without sacrificing the required clinical diagnosis requirement and can be extended for long-term, continuous monitoring in resource-constrained settings.


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