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Design of an Open Remote Electrocardiogram (ECG) Service

Department of Computer Science, University of Pisa, 56127 Pisa, Italy
Current address: Dipartimento di Informatica, Largo Bruno Pontecorvo, 56122 Pisa, Italy.
Future Internet 2019, 11(4), 101;
Received: 14 March 2019 / Revised: 15 April 2019 / Accepted: 18 April 2019 / Published: 24 April 2019
(This article belongs to the Section Techno-Social Smart Systems)
PDF [3065 KB, uploaded 24 April 2019]


Currently, the deployment of services for real-time delivery of an electrocardiogram to a remote site has a cost that prevents its widespread diffusion, which would contribute to saving lives with prevention, assistance and rescue efficiency. To fill this gap, we introduce the design of a remote electrocardiogram service that privileges open, low-cost options. The architecture is based on the HyperText Transfer Protocol (HTTP) and uses commercial off-the-shelf devices to implement the sensor on the patient’s side. The doctor uses a laptop browser to display the tracing, and a cloud computing instance connects the two using WebSockets. A prototype is built to evaluate overall performance, the power consumption of the patient’s side device, and the quality of rendering on doctor’s browser. The patient’s sensor prototype device is portable, and its power consumption is below 1 Watt, thus allowing a daylong autonomy when operated on batteries. Its cost is below 50$, and the required hardware is commercially available. The whole design is ready for on-field evaluation, and it is available in a public repository. View Full-Text
Keywords: non-diagnostic ECG; WebSocket; Cloud PaaS; ECG acquisition; Arduino; ESP8266 non-diagnostic ECG; WebSocket; Cloud PaaS; ECG acquisition; Arduino; ESP8266

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Ciuffoletti, A. Design of an Open Remote Electrocardiogram (ECG) Service. Future Internet 2019, 11, 101.

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