A TELE-EMERGENT SYSTEM FOR LONG-TERM ECG MONITORING OVER WIRELESS SENSOR NETWORK

Abstract

This paper presents the design and implementation of a tele-emergent system to provide constant monitoring of cardiac patients. Our system is consisted of a user integration device attached to the patient, a wireless sensor network (WSN) and a medical gateway installed in the patient's home, and a server set up in the hospital. The user integration device includes Electrocardiogram (ECG) signal acquisition and processing circuit utilizing a "Modified So and Chan" QRS detection algorithm to discriminate the R signal wave and calculate RR intervals to subsequently detect abnormal Heart Rate Variability (HRV), and a Bluetooth transmission module to communicate with WSN. The WSN which is consisted of wireless sensor nodes with power-saving scheme is used to relay the ECG data to the medical gateway for ubiquitous monitoring at home. The medical gateway includes the heart disease symptom recognition system to further analyze the ECG data and recognize the symptoms of serious heart diseases, and a General Packet Radio Service (GPRS) module with Multimedia Messaging Service (MMS) to communicate with the server in the hospital. The server in the hospital can passively process the MMS messages from the medical gateway, and actively send commands to the medical gateway to acquire the needed ECG data from the patient. With our integrated system it is possible to provide real-time and long-term monitoring of physiological data for cardiac patients which is vital for the patients' medical care.