In response to recent improvements in mobile technology and cloud computing-based real-time monitoring systems, numerous cloud-based healthcare services and devices have been developed. In the cloud system, it is feasible to collect and distribute medical data immediately from anywhere to medical specialists, and patients can receive network-based feedback. This paper reviews the most recent developments and trends in wearable technology and biomedical equipment (mostly ECG), as well as the development of a cloud-based solution for mobile device and web browser users. The system contains ECG enhancement, ECG quality grading, and ECG parameter extraction methods. A use case was utilized to showcase the system, in which a web server processed ECG data from a mobile phone in real-time. The system has been proved to be functional, accurate, and efficient. We review the primary principles underlying the operation of the ECG and its fundamental operation, as well as the recording and transmission paradigm for ECG signals. Detailed processes were also provided for the system components, their configuration, and the employed technologies. In conclusion, we examine the complete study and the project's future scope.