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Design of A Novel IoT Based Mobile ECG Data Transmission System using ESP8266

Year 2025, Volume: 15 Issue: 1, 15 - 20

Abstract

The Covid-19 pandemic, declared a global pandemic by the World Health Organization, has adversely affected nearly everyone physically, mentally, and socially. During this period, an increase in cardiovascular diseases has been observed, attributed to factors such as changes in dietary habits, physical inactivity due to staying at home, increased consumption of frozen processed food, psychological stress, lack of social interaction, and consequently, rising alcohol and tobacco consumption. This has led to a significant increase in cardiologists' workload and a shift from traditional technologies to remote patient monitoring models.
In this context, remote Electrocardiogram (ECG) monitoring-based approaches have become widely used in recent years for the detection of heart diseases, owing to their reliability and non-invasive nature.
This study introduces an SMTP-based tele-monitoring approach that facilitates remote monitoring of ECG signals and supports a medical simulator, aiming to alleviate the workload of healthcare professionals. The primary objective of this research is to develop a wireless monitoring framework for ECG signals, aiming to enhance patient monitoring and safety, reduce the workload of healthcare providers, and ensure equitable access to healthcare services. Our research focuses on implementing a portable, real-time, and cost-effective ECG monitoring system.

Ethical Statement

All procedures carried out in studies involving human participants adhered to the ethical standards set by the institutional and national research committee. The study also conformed to the principles outlined in the 1964 Helsinki Declaration and its subsequent amendments or comparable ethical standards.

Supporting Institution

The research conducted in this study received support from the Coordinatorship of Ondokuz Mayıs University's Scientific Research Projects in Samsun, Turkey. The project was identified by the project number PYO.YMY.1908.22.004.

Project Number

PYO.YMY.1908.22.004

Thanks

This study competed as a finalist in the TEKNOFEST 2023 Artificial Intelligence in Health Competition in the University and Above Level Medical Technologies Category. Thank you for your interest

References

  • [1] Chang, Wei-Ting et al., Cardiac Involvement of COVID-19: A Comprehensive Review, The American Journal of the Medical Sciences, 361 (2021), 1, pp.14-22. DOI: https://doi.org/10.1016/j.amjms.2020.10.002
  • [2] Xu, Z. ∙ Shi, L. ∙ Wang, Y., Pathological findings of COVID-19 associated with acute respiratory distress syndrome Lancet Respir Med. 8 (2020), pp.420-422, DOI: 10.1016/S2213-2600(20)30076-X
  • [3] Chen, T. Wu, D. Chen, H., Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study, BMJ. 2020; 368:m1091, DOI: 10.1136/bmj.m1295
  • [4] Hamdy RM, Samy M, Mohamed HS. Clinical utility of ambulatory ECG monitoring and 2D-ventricular strain for evaluation of post-COVID-19 ventricular arrhythmia. BMC Cardiovasc Disord. (2024) 16;24(1):429. DOI:10.1186/s12872-024-03982-0.
  • [5] Singh, A.K., Krishnan, S. ECG signal feature extraction trends in methods and applications. BioMed Eng OnLine 1, (2023), 22. DOI:10.1186/s12938-023-01075-1
  • [6] Hernando-Ramiro, C., Lovisolo, L., Cruz-Roldán, F. et al. Matching Pursuit Decomposition on Electrocardiograms for Joint Compression and QRS Detection. Circuits Syst Signal Process 38(2019), pp.2653–2676. DOI:10.1007/s00034-018-0986-2
  • [7] Xie, J., Peng, L., Wei, L. et al. A signal quality assessment–based ECG waveform delineation method used for wearable monitoring systems. Med Biol Eng Comput 59(2021), pp.2073–2084. DOI:10.1007/s11517-021-02425-8
  • [8] Aziz, S., Ahmed, S. & Alouini, MS. ECG-based machine-learning algorithms for heartbeat classification. Sci Rep 11, 18738 (2021). DOI:10.1038/s41598-021-97118-5
  • [9] Finotti, E.; Quesada, A.; Ciaccio, E.J.; Garan, H.; Hornero, F.; Alcaraz, R.; Rieta, J.J. Practical Considerations for the Application of Nonlinear Indices Characterizing the Atrial Substrate in Atrial Fibrillation. Entropy (2022), 24, 1261. DOI:10.3390/e24091261
  • [10] Liu, C., Tai, M., Hu, J. et al. Application of smart devices in investigating the effects of air pollution on atrial fibrillation onset. npj Digit. Med. 6, 42 (2023). DOI:10.1038/s41746-023-00788-w
  • [11] O. Aligholipour and M. Kuntalp, "Clustering of Paroxysmal Atrial Fibrillation (PAF) and non-PAF subjects based on arrhythmia-free records," 2018 Electric Electronics, Computer Science, Biomedical Engineerings' Meeting (EBBT), Istanbul, Turkey, (2018), pp. 1-5, DOI: 10.1109/EBBT.2018.8391425.
  • [12] Wang, J., Wang, X., Liu, H. et al. Effect of butorphanol on visceral pain in patients undergoing gastrointestinal endoscopy: a randomized controlled trial. BMC Anesthesiol 23, 93 (2023). DOI:10.1186/s12871-023-02053-9.
  • [13] Solis, A., Shimony, J., Shinawi, M. et al. Case report: malignant hypertension associated with catecholamine excess in a patient with Leigh syndrome. Clin Hypertens 29, 7 (2023). DOI:10.1186/s40885-022-00231-4.
  • [14] Lange, T., Backhaus, S.J., Schulz, A. et al. Cardiovascular magnetic resonance-derived left atrioventricular coupling index and major adverse cardiac events in patients following acute myocardial infarction. J Cardiovasc Magn Reson 25, 24 (2023). DOI:10.1186/s12968-023-00929-w.
  • [15] Atamanyuk, I., Kondratenko, Y., Havrysh, V. et al. Computational method of the cardiovascular diseases’ classification based on a generalized nonlinear canonical decomposition of random sequences. Sci Rep 13, 59 (2023). DOI:10.1038/s41598-022-27318-0
  • [16] Ahmet Reşit Kavsaoğlu, Eftal Sehirli, A novel study to classify breath inhalation and breath exhalation using audio signals from heart and trachea, Biomedical Signal Processing and Control, 80(2023), Part 1, 104220, DOI:10.1016/j.bspc.2022.104220
  • [17] Xie, J., Peng, L., Wei, L. et al. A signal quality assessment–based ECG waveform delineation method used for wearable monitoring systems. Med Biol Eng Comput 59(2021), pp.2073–2084. DOI:10.1007/s11517-021-02425-8
  • [18] Luo Brooke, McLoone Melissa, Rasooly Irit R., Craig Sansanee, Muthu Naveen, Won James, Ruppel Halley, Bonafide Christopher P., ANALYSIS: Protocol for a New Method to Measure Physiologic Monitor Alarm Responsiveness, Biomedical Instrumentation & Technology, 54:6 (2020), pp.389-396, DOI:10.2345/0899-8205-54.6.389
  • [19] Murat Alan, M. Caner Akuner, Kalen Berry, Erkan Kaplanoglu, Correlation Between ECG and Heart Sound, 2020 SoutheastCon, Raleigh, NC, USA, 2020, pp. 1-4, Date of Conference: 28-29 March 2020, Conference Location: Raleigh, NC, USA, DOI: 10.1109/SoutheastCon44009.2020.9249693.
  • [20] Demir, A.K., & Abut, F.. Grid ağ topolojilerinde CoAP ve CoCoA tıkanıklık kontrol mekanizmalarının karşılaştırılması. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, (2018), pp.53-60. DOI:10.17714/gumusfenbil.436056
  • [21] Sümbül, H.. Deneyap kart kullanarak pozisyonel uyku apnesi tespiti ve IoT uygulaması. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, 13(4) (2023), pp.1033-1045. DOI:10.17714/gumusfenbil.1262913
  • [22] Çiftçi, B., Şen, Z., & Akkaş, M. (2021). Nesnelerin İnterneti Tabanlı Kablosuz Taşınabilir EKG Cihazı. Avrupa Bilim Ve Teknoloji Dergisi(26), 91-95. DOI:10.31590/ejosat.949795
  • [23] Saeed, I. M., Eltaema, M. A., Eldie, G. A. S., H Mohamed, H. O.., T. Ahmed and M. E. S. Hamad, "Development of 3-Channel 12-Lead ECG Monitoring Device with Telemedicine Integration using AD8232," 2023 International Conference on Computer and Applications (ICCA), Cairo, Egypt, 2023, pp. 1-8, DOI: 10.1109/ICCA59364.2023.10401513.
  • [24] Zhaoyang Ge, Huiqing Cheng, Zhuang Tong, Ning Wang, Adi Alhudhaif, Fayadh Alenezi, Haiyan Wang, Bing Zhou, Zongmin Wang, ECG-MAKE: An ECG signal delineation approach based on medical attribute knowledge extraction, Information Sciences 637 (2023) 118978, DOI:10.1016/j.ins.2023.118978
  • [25] Neri L, Oberdier MT, Augello A, Suzuki M, Tumarkin E, Jaipalli S, Geminiani GA, Halperin HR, Borghi C. Algorithm for Mobile Platform-Based Real-Time QRS Detection. Sensors. 2023; 23(3):1625. DOI:10.3390/s23031625
  • [26] Liu Feifei, Wei Shoushui, Li Yibin, Jiang Xinge, Zhang Zhimin, Zhang Ling, Liu Chengyu, the accuracy on the common pan-tompkins based QRS detection methods through low-quality electrocardiogram database J. Med. Imag. Health Inform., 7 (5) (2017), pp. 1039-1043, DOI: 10.1166/jmihi.2017.2134
  • [27] Eduardo José da S. Luz, William Robson Schwartz, Guillermo Cámara-Chávez, David Menotti, “Ecg-based heartbeat classification for arrhythmia detection: A survey,” Computer methods and programs in biomedicine, 127 (2016), pp. 144–164, DOI:10.1016/j.cmpb.2015.12.008
  • [28] Abdioğlu, S., Acar, B. & Kavsaoğlu, A.R. Kablosuz EKG cihazı tasarımı ve sinyal işleme teknikleri kullanılarak özniteliklerin değerlendirilmesine yönelik web sitesi tasarımı. Avrupa Bilim ve Teknoloji Dergisi, 26 (2021), pp.144-150, DOI: 10.31590/ejosat.951988.
Year 2025, Volume: 15 Issue: 1, 15 - 20

Abstract

Project Number

PYO.YMY.1908.22.004

References

  • [1] Chang, Wei-Ting et al., Cardiac Involvement of COVID-19: A Comprehensive Review, The American Journal of the Medical Sciences, 361 (2021), 1, pp.14-22. DOI: https://doi.org/10.1016/j.amjms.2020.10.002
  • [2] Xu, Z. ∙ Shi, L. ∙ Wang, Y., Pathological findings of COVID-19 associated with acute respiratory distress syndrome Lancet Respir Med. 8 (2020), pp.420-422, DOI: 10.1016/S2213-2600(20)30076-X
  • [3] Chen, T. Wu, D. Chen, H., Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study, BMJ. 2020; 368:m1091, DOI: 10.1136/bmj.m1295
  • [4] Hamdy RM, Samy M, Mohamed HS. Clinical utility of ambulatory ECG monitoring and 2D-ventricular strain for evaluation of post-COVID-19 ventricular arrhythmia. BMC Cardiovasc Disord. (2024) 16;24(1):429. DOI:10.1186/s12872-024-03982-0.
  • [5] Singh, A.K., Krishnan, S. ECG signal feature extraction trends in methods and applications. BioMed Eng OnLine 1, (2023), 22. DOI:10.1186/s12938-023-01075-1
  • [6] Hernando-Ramiro, C., Lovisolo, L., Cruz-Roldán, F. et al. Matching Pursuit Decomposition on Electrocardiograms for Joint Compression and QRS Detection. Circuits Syst Signal Process 38(2019), pp.2653–2676. DOI:10.1007/s00034-018-0986-2
  • [7] Xie, J., Peng, L., Wei, L. et al. A signal quality assessment–based ECG waveform delineation method used for wearable monitoring systems. Med Biol Eng Comput 59(2021), pp.2073–2084. DOI:10.1007/s11517-021-02425-8
  • [8] Aziz, S., Ahmed, S. & Alouini, MS. ECG-based machine-learning algorithms for heartbeat classification. Sci Rep 11, 18738 (2021). DOI:10.1038/s41598-021-97118-5
  • [9] Finotti, E.; Quesada, A.; Ciaccio, E.J.; Garan, H.; Hornero, F.; Alcaraz, R.; Rieta, J.J. Practical Considerations for the Application of Nonlinear Indices Characterizing the Atrial Substrate in Atrial Fibrillation. Entropy (2022), 24, 1261. DOI:10.3390/e24091261
  • [10] Liu, C., Tai, M., Hu, J. et al. Application of smart devices in investigating the effects of air pollution on atrial fibrillation onset. npj Digit. Med. 6, 42 (2023). DOI:10.1038/s41746-023-00788-w
  • [11] O. Aligholipour and M. Kuntalp, "Clustering of Paroxysmal Atrial Fibrillation (PAF) and non-PAF subjects based on arrhythmia-free records," 2018 Electric Electronics, Computer Science, Biomedical Engineerings' Meeting (EBBT), Istanbul, Turkey, (2018), pp. 1-5, DOI: 10.1109/EBBT.2018.8391425.
  • [12] Wang, J., Wang, X., Liu, H. et al. Effect of butorphanol on visceral pain in patients undergoing gastrointestinal endoscopy: a randomized controlled trial. BMC Anesthesiol 23, 93 (2023). DOI:10.1186/s12871-023-02053-9.
  • [13] Solis, A., Shimony, J., Shinawi, M. et al. Case report: malignant hypertension associated with catecholamine excess in a patient with Leigh syndrome. Clin Hypertens 29, 7 (2023). DOI:10.1186/s40885-022-00231-4.
  • [14] Lange, T., Backhaus, S.J., Schulz, A. et al. Cardiovascular magnetic resonance-derived left atrioventricular coupling index and major adverse cardiac events in patients following acute myocardial infarction. J Cardiovasc Magn Reson 25, 24 (2023). DOI:10.1186/s12968-023-00929-w.
  • [15] Atamanyuk, I., Kondratenko, Y., Havrysh, V. et al. Computational method of the cardiovascular diseases’ classification based on a generalized nonlinear canonical decomposition of random sequences. Sci Rep 13, 59 (2023). DOI:10.1038/s41598-022-27318-0
  • [16] Ahmet Reşit Kavsaoğlu, Eftal Sehirli, A novel study to classify breath inhalation and breath exhalation using audio signals from heart and trachea, Biomedical Signal Processing and Control, 80(2023), Part 1, 104220, DOI:10.1016/j.bspc.2022.104220
  • [17] Xie, J., Peng, L., Wei, L. et al. A signal quality assessment–based ECG waveform delineation method used for wearable monitoring systems. Med Biol Eng Comput 59(2021), pp.2073–2084. DOI:10.1007/s11517-021-02425-8
  • [18] Luo Brooke, McLoone Melissa, Rasooly Irit R., Craig Sansanee, Muthu Naveen, Won James, Ruppel Halley, Bonafide Christopher P., ANALYSIS: Protocol for a New Method to Measure Physiologic Monitor Alarm Responsiveness, Biomedical Instrumentation & Technology, 54:6 (2020), pp.389-396, DOI:10.2345/0899-8205-54.6.389
  • [19] Murat Alan, M. Caner Akuner, Kalen Berry, Erkan Kaplanoglu, Correlation Between ECG and Heart Sound, 2020 SoutheastCon, Raleigh, NC, USA, 2020, pp. 1-4, Date of Conference: 28-29 March 2020, Conference Location: Raleigh, NC, USA, DOI: 10.1109/SoutheastCon44009.2020.9249693.
  • [20] Demir, A.K., & Abut, F.. Grid ağ topolojilerinde CoAP ve CoCoA tıkanıklık kontrol mekanizmalarının karşılaştırılması. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, (2018), pp.53-60. DOI:10.17714/gumusfenbil.436056
  • [21] Sümbül, H.. Deneyap kart kullanarak pozisyonel uyku apnesi tespiti ve IoT uygulaması. Gümüşhane Üniversitesi Fen Bilimleri Dergisi, 13(4) (2023), pp.1033-1045. DOI:10.17714/gumusfenbil.1262913
  • [22] Çiftçi, B., Şen, Z., & Akkaş, M. (2021). Nesnelerin İnterneti Tabanlı Kablosuz Taşınabilir EKG Cihazı. Avrupa Bilim Ve Teknoloji Dergisi(26), 91-95. DOI:10.31590/ejosat.949795
  • [23] Saeed, I. M., Eltaema, M. A., Eldie, G. A. S., H Mohamed, H. O.., T. Ahmed and M. E. S. Hamad, "Development of 3-Channel 12-Lead ECG Monitoring Device with Telemedicine Integration using AD8232," 2023 International Conference on Computer and Applications (ICCA), Cairo, Egypt, 2023, pp. 1-8, DOI: 10.1109/ICCA59364.2023.10401513.
  • [24] Zhaoyang Ge, Huiqing Cheng, Zhuang Tong, Ning Wang, Adi Alhudhaif, Fayadh Alenezi, Haiyan Wang, Bing Zhou, Zongmin Wang, ECG-MAKE: An ECG signal delineation approach based on medical attribute knowledge extraction, Information Sciences 637 (2023) 118978, DOI:10.1016/j.ins.2023.118978
  • [25] Neri L, Oberdier MT, Augello A, Suzuki M, Tumarkin E, Jaipalli S, Geminiani GA, Halperin HR, Borghi C. Algorithm for Mobile Platform-Based Real-Time QRS Detection. Sensors. 2023; 23(3):1625. DOI:10.3390/s23031625
  • [26] Liu Feifei, Wei Shoushui, Li Yibin, Jiang Xinge, Zhang Zhimin, Zhang Ling, Liu Chengyu, the accuracy on the common pan-tompkins based QRS detection methods through low-quality electrocardiogram database J. Med. Imag. Health Inform., 7 (5) (2017), pp. 1039-1043, DOI: 10.1166/jmihi.2017.2134
  • [27] Eduardo José da S. Luz, William Robson Schwartz, Guillermo Cámara-Chávez, David Menotti, “Ecg-based heartbeat classification for arrhythmia detection: A survey,” Computer methods and programs in biomedicine, 127 (2016), pp. 144–164, DOI:10.1016/j.cmpb.2015.12.008
  • [28] Abdioğlu, S., Acar, B. & Kavsaoğlu, A.R. Kablosuz EKG cihazı tasarımı ve sinyal işleme teknikleri kullanılarak özniteliklerin değerlendirilmesine yönelik web sitesi tasarımı. Avrupa Bilim ve Teknoloji Dergisi, 26 (2021), pp.144-150, DOI: 10.31590/ejosat.951988.
There are 28 citations in total.

Details

Primary Language English
Subjects Bioelectronic, Bioengineering (Other)
Journal Section Research Article
Authors

Harun Sümbül 0000-0001-5135-3410

Project Number PYO.YMY.1908.22.004
Early Pub Date July 1, 2025
Publication Date
Submission Date June 5, 2024
Acceptance Date January 15, 2025
Published in Issue Year 2025 Volume: 15 Issue: 1

Cite

APA Sümbül, H. (2025). Design of A Novel IoT Based Mobile ECG Data Transmission System using ESP8266. European Journal of Technique (EJT), 15(1), 15-20. https://doi.org/10.36222/ejt.1496616

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