A Wearable Wireless Sensor for Cardiac Monitoring
Jamal Ahmad Khan, Haroon Ali Akbar, Usama Pervaiz and Osman Hassan
School of Electrical Engineering and Computer Science
NUST, H-12, Islamabad, Pakistan
{12beejkhan, 12beehakbar, 12beeupervaiz, osman.hassan}@seecs.edu.pk
Abstract— This paper presents a low cost, low power and
wireless wearable solution for real-time analysis and monitoring
of cardiac activity co-related with physical activity. Utilizing
an analogue filter chain for signal conditioning, the device
performs continuous measurement of the Electrocardiogram.
The wearable also includes an accelerometer enabling it to
detect the current physical activity along with body orientation.
The device communicates wirelessly, using Bluetooth Smart
/Bluetooth Low Energy, with a smart phone, where a complete
analysis can be performed on the received data, and decisions
about the current health conditions can be made.
I. INTRODUCTION
According to a recent estimate [1], by the end of 2017
wearable electronics will be facilitating 322.69 million lives
around the globe . In everything from healthcare & lifestyle
to everyday hassle, wearable devices are introducing newer
concepts of convenience, costumer care and novelty. Par-
ticularly, with more sophisticated sensing and analytical
functionalities, the new generation of medical or clinical
wearables is making unmatched growth with an annually
rising share of 25-30% in the market [2]. The main moti-
vation being to introduce remote and continuous monitoring
of diseases via wearables and thus cater for the dearth of
trained medical personnel and lack of available healthcare
and thus try to save the loss of millions of lives each year
Most of the physiological diseases encountered by human
body have a specific effect on body vitals, like pulse rate,
body temperature and blood pressure. Heart Failure, for
instance, disrupts human electrocardiogram (ECG) and body
skin temperature. Similarly congestive Heart Failure (CHF)
is a condition in which the pumping power of the heart gets
weaker than normal and this causes the blood to flow through
your body slower providing lesser oxygen and nutrients
to the body [3]. CHF causes 1 million hospitalizations
annually in North America and Europe only and the impact
in developing countries is more alarming [4]. [5] Fig. 1 shows
the prevalence on CHF among different age groups for both
genders.
Medical supervision of a CHF patient is a highly careful
procedure that is to be performed 24/7. Previously this was
done using hefty ambulatory monitors or Holter monitors.
Though it required highly trained staff, this method of
supervision was impractical for long term supervision as
it restricts the human body movement. Lack of monitoring
facilities and an additional possibility of missing out on real
time information of body vitals during daily activities of the
patient out of the hospital called for a more accurate, portable
Fig. 1: Prevalence of CHF among different age groups
and easy-to-use medical equipment so that patients could be
remotely and continuously monitored.
A number of solutions have been developed to address
the aforesaid problems. The commonly proposed solution
is based on remote monitoring using wearable bio-sensors
that transmit real-time information to the respective medical
supervisor. However, to the best of our knowledge the
introduction of IoT based wearable patches has not been
carried out yet. The solution given in [6] doesn’t allow
notifications to patient’s medical supervisor. Similarly the
device described in [7] is expensive and does not support
multiuser database and community sharing service. Finally
[8], [9] and [10] provide web-based solutions only and do
not provide real-time monitoring.
In this paper we propose a wearable wireless sensor that
is IoT compliant and provides, real-time remote monitoring
of Congestive Heart Failure (CHF) patients. These features
are mainly achieved by single lead ECG acquisition along
with activity detection using the on board accelerometer and
the accompanying mobile application. The proposed solution
ensures minimal body restrictions, supervisor notifications
and community platform growth. In addition, due to it’s cost
effectiveness a wider outreach is expected which will lead
to timely disease diagnosis of patients.
II. DESIGN METHODOLOGY
As depicted in Fig.2 The wearable device consists of
four main components i.e. ECG circuitry, Accelerometer,
Temperature circuitry, Micro controller combined with BLE
transceiver and an accompanying mobile application:
978-1-5090-3087-3/16/$31.00 ©2016 IEEE 61