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Improved Low-Cost
Electrocradiography System
Introduction
Kalimat Pengantar
• The heart is an organ that is vital for the human body. The emergence of abnormalities
in the heart can be fatal for patients. At present, a portable device has emerged that
provides health monitoring of vital signs that allow for free movement and observation
during normal patient activity. For decades, arrhythmias (heart rhythm disorders) have
been the primary cardiovascular disease. It is very vital to identify heart disease. Heart
activity can be record as electrocardiography. The use of electrocardiography for
individuals is still very limited because it is expensive and licensed. Currently,
monitoring of heart signals can be done manually by individuals. Always, it can also be
independent, scheduled control, and efficient through the application of ECG systems in
hospitals [1], [2], [3] with various ECG platforms or operating systems [4].
Literatur terdahulu
• For example, the first heart monitoring device called an ECG
heart rate monitor was introduced in 1977, and wireless
personal heart monitors in 1983 [5]. In 2012 began to be
investigated the architecture of the ECG signal acquisition
circuit is implemented in detail, which included analog filtered,
amplified, digital field, displayed in the LCD after digital low-
pass filtering in Digital Signal Procesing, and the collected ECG
data process [6], but there are limitations because it uses the
high-cost chip TMS320VC5509A [6].
Literatur terdahulu
• The design of ECG data acquisition and processing systems is
mainly achieved through the use of microcontrollers (MCUs)
and ARMs. Nevertheless, its processing functionality is
restricted, and its storage capacity is too small, so it can not
access old and complicated acquisition signals [7], and the
limited digital data stream can only be saved on an SD memory
card, allowing the ECG signal to be processed later on the
Computer [1][7].
Literatur terdahulu
• To suppress unwanted common mode signals, instrumentation
amplifiers are needed. The ECG amplifier shall have a high input
impedance, low output impedance, minimal bandwidth, and power-
efficient as possible [8]. Besides, it should have a sufficient cost, a
high power-supply-rejection ratio (PSSRR), and a common-mode
rejection ratio (CMRR) [8], and for recording of the ECG signals, it
should be compact, and lightweight.
Literatur terdahulu
• One method to monitor heart conditions is to use the Heart Rate
Variability (HRV) method. HRV or is a physiological
phenomenon in which the time intervals between heartbeats
have different values. Various things can affect HRV, including
the influence of the autonomic nervous system, fitness, and
body mass index, the volume of blood returning to the heart
(venous return), respiration, arrhythmia, etc. [9].
State of the art-Tujuan Penelitian
• In this study, it is being presented the development of a tool of a portable cardiac monitoring
system using three leads, with a device conceived essentially as a low-cost alternative to the
electrocardiographic equipment for personal. Our device is designed to simulate the ability of a
simple electrocardiographic solution with an integrated system in it for monitoring heart rate and
signals, which can identify R-R intervals and average HR, and for managing heart signals.
• While many technologies and tools have been developed as mentioned above for tracking heart
signals, existing systems are too costly and too big for individuals to purchase and use in real-
world applications [8]–[12]. Furthermore, no fully open-source ECG framework will allow for
modifications for different purposes. So we are proposing a new open source in .exe file, simple
system, small and inexpensive system that can store heart signals in real-time.
Reference
[1] J. P. Teixeira and A. Ferreira, “Ambulatory Electrocardiogram Prototype,” in Procedia Computer Science, 2015, vol. 64, pp.
800–807.
[2] S. L. Guo, L. N. Han, H. W. Liu, Q. J. Si, D. F. Kong, and F. S. Guo, “The future of remote ECG monitoring systems,” Journal of
Geriatric Cardiology, vol. 13, no. 6. Science Press, pp. 528–530, 2016.
[3] A. Sengupta, S. Roy, and A. Sengupta, “A Simple and User friendly tool for determining R-R intervals from the time series data
of Electrocardiogram,” vol. 5, no. 1, pp. 214–218, 2014.
[4] A. Purohit, “Calculate ECG Parameters through Labview.”
[5] M. AlGhatrif and J. Lindsay, “A brief review: history to understand fundamentals of electrocardiography,” J. Community Hosp.
Intern. Med. Perspect., vol. 2, no. 1, p. 14383, 2012.
[6] A. Bansal and R. Joshi, “Portable out-of-hospital electrocardiography: A review of current technologies,” J. Arrhythmia, vol. 34,
no. 2, pp. 129–138, 2018.
[7] K. Wang, S. Ma, J. Feng, W. Zhang, M. Fan, and D. Zhao, “Design of ECG signal acquisition system based on DSP,” Procedia
Eng., vol. 29, pp. 3763–3767, 2012.
[8] L. Xiu and Z. Li, “Low-power instrumentation amplifier IC design for ECG system applications,” Procedia Eng., vol. 29, pp.
1533–1538, 2012.
[9] S. G. Aydin, T. Kaya, and H. Guler, “Heart Rate Variability (HRV) Based Feature Extraction for Congestive Heart Failure,” Int. J.
Comput. Electr. Eng., vol. 8, no. 4, pp. 272–279, 2016.
[10] R. Amelard et al., “Feasibility of long-distance heart rate monitoring using transmittance photoplethysmographic imaging
(PPGI),” Sci. Rep., vol. 5, no. September, pp. 1–11, 2015.
[11] D. Dias and J. P. S. Cunha, “Wearable health devices—vital sign monitoring, systems and technologies,” Sensors
(Switzerland), vol. 18, no. 8, 2018.
[12] P. Kakria, N. K. Tripathi, and P. Kitipawang, “A real-time health monitoring system for remote cardiac patients using
smartphone and wearable sensors,” Int. J. Telemed. Appl., vol. 2015, 2015.

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INTRODUCTION.pptx

  • 3. Kalimat Pengantar • The heart is an organ that is vital for the human body. The emergence of abnormalities in the heart can be fatal for patients. At present, a portable device has emerged that provides health monitoring of vital signs that allow for free movement and observation during normal patient activity. For decades, arrhythmias (heart rhythm disorders) have been the primary cardiovascular disease. It is very vital to identify heart disease. Heart activity can be record as electrocardiography. The use of electrocardiography for individuals is still very limited because it is expensive and licensed. Currently, monitoring of heart signals can be done manually by individuals. Always, it can also be independent, scheduled control, and efficient through the application of ECG systems in hospitals [1], [2], [3] with various ECG platforms or operating systems [4].
  • 4. Literatur terdahulu • For example, the first heart monitoring device called an ECG heart rate monitor was introduced in 1977, and wireless personal heart monitors in 1983 [5]. In 2012 began to be investigated the architecture of the ECG signal acquisition circuit is implemented in detail, which included analog filtered, amplified, digital field, displayed in the LCD after digital low- pass filtering in Digital Signal Procesing, and the collected ECG data process [6], but there are limitations because it uses the high-cost chip TMS320VC5509A [6].
  • 5. Literatur terdahulu • The design of ECG data acquisition and processing systems is mainly achieved through the use of microcontrollers (MCUs) and ARMs. Nevertheless, its processing functionality is restricted, and its storage capacity is too small, so it can not access old and complicated acquisition signals [7], and the limited digital data stream can only be saved on an SD memory card, allowing the ECG signal to be processed later on the Computer [1][7].
  • 6. Literatur terdahulu • To suppress unwanted common mode signals, instrumentation amplifiers are needed. The ECG amplifier shall have a high input impedance, low output impedance, minimal bandwidth, and power- efficient as possible [8]. Besides, it should have a sufficient cost, a high power-supply-rejection ratio (PSSRR), and a common-mode rejection ratio (CMRR) [8], and for recording of the ECG signals, it should be compact, and lightweight.
  • 7. Literatur terdahulu • One method to monitor heart conditions is to use the Heart Rate Variability (HRV) method. HRV or is a physiological phenomenon in which the time intervals between heartbeats have different values. Various things can affect HRV, including the influence of the autonomic nervous system, fitness, and body mass index, the volume of blood returning to the heart (venous return), respiration, arrhythmia, etc. [9].
  • 8. State of the art-Tujuan Penelitian • In this study, it is being presented the development of a tool of a portable cardiac monitoring system using three leads, with a device conceived essentially as a low-cost alternative to the electrocardiographic equipment for personal. Our device is designed to simulate the ability of a simple electrocardiographic solution with an integrated system in it for monitoring heart rate and signals, which can identify R-R intervals and average HR, and for managing heart signals. • While many technologies and tools have been developed as mentioned above for tracking heart signals, existing systems are too costly and too big for individuals to purchase and use in real- world applications [8]–[12]. Furthermore, no fully open-source ECG framework will allow for modifications for different purposes. So we are proposing a new open source in .exe file, simple system, small and inexpensive system that can store heart signals in real-time.
  • 9. Reference [1] J. P. Teixeira and A. Ferreira, “Ambulatory Electrocardiogram Prototype,” in Procedia Computer Science, 2015, vol. 64, pp. 800–807. [2] S. L. Guo, L. N. Han, H. W. Liu, Q. J. Si, D. F. Kong, and F. S. Guo, “The future of remote ECG monitoring systems,” Journal of Geriatric Cardiology, vol. 13, no. 6. Science Press, pp. 528–530, 2016. [3] A. Sengupta, S. Roy, and A. Sengupta, “A Simple and User friendly tool for determining R-R intervals from the time series data of Electrocardiogram,” vol. 5, no. 1, pp. 214–218, 2014. [4] A. Purohit, “Calculate ECG Parameters through Labview.” [5] M. AlGhatrif and J. Lindsay, “A brief review: history to understand fundamentals of electrocardiography,” J. Community Hosp. Intern. Med. Perspect., vol. 2, no. 1, p. 14383, 2012. [6] A. Bansal and R. Joshi, “Portable out-of-hospital electrocardiography: A review of current technologies,” J. Arrhythmia, vol. 34, no. 2, pp. 129–138, 2018. [7] K. Wang, S. Ma, J. Feng, W. Zhang, M. Fan, and D. Zhao, “Design of ECG signal acquisition system based on DSP,” Procedia Eng., vol. 29, pp. 3763–3767, 2012. [8] L. Xiu and Z. Li, “Low-power instrumentation amplifier IC design for ECG system applications,” Procedia Eng., vol. 29, pp. 1533–1538, 2012. [9] S. G. Aydin, T. Kaya, and H. Guler, “Heart Rate Variability (HRV) Based Feature Extraction for Congestive Heart Failure,” Int. J. Comput. Electr. Eng., vol. 8, no. 4, pp. 272–279, 2016. [10] R. Amelard et al., “Feasibility of long-distance heart rate monitoring using transmittance photoplethysmographic imaging (PPGI),” Sci. Rep., vol. 5, no. September, pp. 1–11, 2015. [11] D. Dias and J. P. S. Cunha, “Wearable health devices—vital sign monitoring, systems and technologies,” Sensors (Switzerland), vol. 18, no. 8, 2018. [12] P. Kakria, N. K. Tripathi, and P. Kitipawang, “A real-time health monitoring system for remote cardiac patients using smartphone and wearable sensors,” Int. J. Telemed. Appl., vol. 2015, 2015.