DESIGN AND IMPLEMENTATION OF LOW COST

ECGMONITORING SYSTEM FOR THE PATIENT

USING SMARTDEVICE
ABSTRACT
Cardiovascular disease (CSD) has become the leading cause of death worldwide in recent years.
This CSD is the most challenging problem for detection or identification in early stages of
patients. This research work approaches to develop an ECG signal generator at very low cost for
the patients who can receive his/her ECG signal and detect the probability of cardiovascular
diseases instantly. This ECG signal is transmitted via Bluetooth/Wi-Fi/Zigbee module to smart
device with support software simulation where feature extraction and detection algorithm is
setup for cardiovascular disease. This network can be connected with the doctors and hospitals to
get the fastest treatment. In this paper, we have also proposed extraction and detection algorithm
for detecting of CSD. This proposed idea is to contribute to bring under control heart diseases
and also act as an expected results in health care service to patients in remote area.
INTRODUCTION
At present high rate of heart diseases is facing in the world. This has become the leading cause of
death, and World Health Organization (WHO) says that more than 17 million people die
annually from cardiovascular disease. “The Global Hearts”, a new initiative fair from WHO, as it
aims to beat back the global measures threat of cardiovascular disease, including heart attacks
and stocks to people living in countries with limited resources or in low-income groups. [1].
Most of the low and middle income peoples die from heart attacks and strokes in the world. This
death rate can be minimized to a large extent by early detection of the symptoms of
cardiovascular diseases. The different type of cardiovascular diseases diagnosis based on the
ECG pattern. The cardiovascular diseases are Congestive Heart Failure, Coronary Artery
Disease, Heart Attack, Cardiac Dysrhythmia, Ventricular Fibrillation, Tachycardia, Angina,
Arthrosclerosis and so many cardiovascular diseases. Now a day’s medical science still shows
clear results for diagnosis. The processing methods require realtime for the diagnosis of cardiac
diseases accurately. The ECG wave shape of the cardiac cycle is accounted with high energy
concentration in QRS complex and low energy concentration in The ECG is recording the
electrical activity of heart in human . The variation of electrical activities such as interval and
amplitude of each wave indicates various cardiac disorders. The most popular way of heart
diseases detection are based on smart device that use signal processing techniques or methods for
the clarification of the ECG characteristics and diagnosis of a cardiopathy. In this paper, we are
going to propose unguided network design for low cast portable ECG system to generate ECG
signal from patient. This system integrates with wireless/unguided network technology with
embedded system. We also proposed a feature extraction and heart disease detection algorithm
through MATLAB. It consists of a low-cost ECG signal generator circuit connected with a
wireless data transfer device like Bluetooth or Wi-Fi, which will transfer the generated ECG
signal of a person to the MATLAB platform in PC. Then rest of the detection technique is
performed. The ECG signal may affect by different noises. We need to remove these noise by
filtering method. The fast Fourier transform (FFT) or FIR filter with order and normalize
sampling frequency is used to remove noise for the importance of real time processing. Then the
proposed algorithm feature extracts from ECG signal and performs real time analysis of the P
wave, QRS complex, T wave to indicate the presence of a cardiopathy.
LITERATURE REVIEW
1. E. Nemati, M. Deen, and T. Mondal, “A wireless wearable ECG sensor for long-term
applications,” IEEE Communications Magazine, vol. 50, no. 1, pp. 36–43, Jan. 2012
 PROPOSED: The ANT protocol was used as a low-data-rate wireless module to reduce
the power consumption and size of the sensor
 DISADVANTAGE: it had high noise isssues

2. L. Fanucci, S. Saponara, T. Bacchillone, M. Donati, P. Barba, I. Sanchez-Tato, and C.

Carmona, “Sensing Devices and Sensor Signal Processing for Remote Monitoring of
Vital Signs in CHF Patients,” IEEE Trans. Instr. and Meas. vol. 62, no. 3, pp. 553–569,
Mar. 2013.
 PROPOSED a complete and integrated Information and Communication Technology
system is described enabling the CHF patients to daily collect vital signs at home and
automatically send them to the Hospital Information System, allowing the physicians to
monitor their patients at distance and take timely actions in case of necessity
 DISADVANTAGE : No secured cloud

3. E. S. Winokur, M. K. Delano, and C. G. Sodini, “A wearable cardiac monitor for long-

term data acquisition and analysis,” IEEE Trans. Biomed. Eng., vol. 60, no. 1, pp. 189–
92, Jan. 2013.
 PROPOSED: This device removes all loose wires from the system and minimizes the
footprint on the user
 DISADVANTAGE: sensitivity and predictability was very low

4. S. Lee, J. Hong, K. Lin, C.H. Hsieh, M. Liang, S.Y. Chien, "Low-Power Wireless ECG
Acquisition and Classification System for Body Sensor Networks," IEEE Journal of
Biomedical and Health Informatics,vol. 19, no. 1 pp. 236-246, Jan. 2015.
 PROPOSED: The BSP and transmitter circuits, which are the body-end circuits, can be
operated for over 80 days using two 605 mAH zinc-air batteries as the power supply
 DISADVANTAGE : doesn’t support long term monitoring of heart
 5. H. Kim, S. Kim, N. Van Helleputte, A. Artes, M. Konijnenburg, J. Huisken, C. Van
Hoof, and R. F. Yazicioglu, “A configurable and low power mixed signal SoC for
portable ECG monitoring applications,” IEEE Trans. Biomed. Circuits Syst., vol. 8, no. 2,
pp. 257–267, 2014.

 PROPOSED: A custom digital signal processor consisting of 4-way SIMD processor

provides the configurability and advanced functionality like motion artifact removal and
R peak detection
 DISADVANTAGE: Uses blue-tooth protocol for connectivity with main board

6. H. Kim, S. Kim, N. Van Helleputte, A. Artes, M. Konijnenburg, J. Huisken, C. Van

Hoof, and R. F. Yazicioglu, “A configurable and lowpower mixed signal SoC for
portable ECG monitoring applications,” IEEE Trans. Biomed. Circuits Syst., vol. 8, no. 2,
pp. 257–267, 2014.

 PROPOSED: Uses low power Soc for ECG

 DISADVANTAGE: susceptible to noise

EXISTING MODEL
 The typical system for detecting heart disease or cardiovascular diseases of a person is to
diagnosis into the pathology center and take ECG signal for testing.
 Some of the proposed ECG sensor nodes are based on a dedicated integrated front end,
that sometimes includes a DSP
 power consumption mostly in such sensors is mainly due to the radio link and therefore
the optimization obtained by the use of the dedicated front-end has a limited impact on
the power performance of the complete sensor.
DISADVANTAGES
 high noise isssues
 No secured cloud
 sensitivity and predictability was very low
 doesn’t support long term monitoring of heart

PROPOSED MODEL
 The proposed unguided network design for low cast portable ECG system to generate
ECG signal from patient.
 This system integrates with wireless/unguided network technology with embedded
system.
 The proposed method includes a feature extraction and heart disease detection algorithm
through MATLAB.
 It also consists of a low-cost ECG signal generator circuit connected with a wireless data
transfer device like Bluetooth or Wi-Fi, which will transfer the generated ECG signal of a
person to the MATLAB platform in PC

ADVANTAGES
 A low cost portable ECG wireless system
 Feature extraction and cardiovascular disease detection algorithm.

PROBLEM STATEMENT
 The design of a battery powered ECG circuit requires a detailed analysis of each
subsystem to minimize size, cost and power consumption
 Most of the low and middle income peoples die from heart attacks and strokes in the
world. This death rate can be minimized to a large extent by early detection of the
symptoms of cardiovascular diseases.
 The cardiovascular diseases are Congestive Heart Failure, Coronary Artery Disease,
Heart Attack, Cardiac Dysrhythmia, Ventricular Fibrillation, Tachycardia, Angina,
Arthrosclerosis and so many cardiovascular diseases
ARCHITECTURE
SYSTEM REQUIREMENTS SPECIFICATION
HARDWARE REQUIREMENTS
ECG SENSOR
TEMPERATURE SENSOR
AMBIENT SENSOR
AURDINO MEGA
ESP8266 WIFI
NODE MCU

SOFTWARE REQUIREMENTS
Operating system: windows 7
IDE: aurdino , netbeans
Language: embedded C, java

GANTT CHART

PROJECT TASK DAYS

25

20

15
1-Mar 24-Mar PHASE 2
1-Apr 22-Apr PHASE 3
10 SUBMISSION
5-Feb 22-Feb SYNOPSIS SUBMISSION
SUBMISSION
5
1-May 5-May EXECUTION
0
SYNOPSIS SUBMISSION PHASE 2 SUBMISSION PHASE 3 SUBMISSION EXECUTION
22-Feb 24-Mar 22-Apr 5-May
5-Feb 1-Mar 1-Apr 1-May

PROJECT TASK DAYS

REFERENCES
1. E. Nemati, M. Deen, and T. Mondal, “A wireless wearable ECG sensor for long-term
applications,” IEEE Communications Magazine, vol. 50, no. 1, pp. 36–43, Jan. 2012

2. L. Fanucci, S. Saponara, T. Bacchillone, M. Donati, P. Barba, I. Sanchez-Tato, and C.

Carmona, “Sensing Devices and Sensor Signal Processing for Remote Monitoring of
Vital Signs in CHF Patients,” IEEE Trans. Instr. and Meas. vol. 62, no. 3, pp. 553–569,
Mar. 2013.

3. E. S. Winokur, M. K. Delano, and C. G. Sodini, “A wearable cardiac monitor for long-

term data acquisition and analysis,” IEEE Trans. Biomed. Eng., vol. 60, no. 1, pp. 189–
92, Jan. 2013.

4. S. Lee, J. Hong, K. Lin, C.H. Hsieh, M. Liang, S.Y. Chien, "Low-Power Wireless ECG
Acquisition and Classification System for Body Sensor Networks," IEEE Journal of
Biomedical and Health Informatics,vol. 19, no. 1 pp. 236-246, Jan. 2015.