Preliminary ECG Cloud-based Telecardiology System for Rural Areas

According to the Ministry of Health of Republic Indonesia, cardiovascular disease the number of sufferers continues to increase every and ranks the highest cause of death in Indonesia. The most common CVD manifestation is atrial fibrillation. The CVD prevalence in rural areas of Indonesia is 1.3% and only one-third of CVD patients received preventive treatment. The low number of patients receiving preventive treatment is due to a shortage of active cardiologists and an unoptimized health care facility integration system in Indonesia. Therefore, a virtual access system equipped with a computer-aided diagnosis that connects a public health center in a rural area with cardiologists in a district hospital for better health care service performance. In this research, the virtual access system was developed by using Amazon Web Services along with ESP32 and micro-SD for simulating the ECG data transmission. The developed system can be accessed publicly and able to do cloud computation to detect atrial fibrillation. Furthermore, the developed system data transmission with the buffer method showed a result of 0% data loss in 1 minute, 5 minutes, 60 hours; and 0.0014% of extra data for 24 hours of transmission. Thus, the developed system has a high possibility for Holter monitoring and its implementation is not limited to ECG signal data transmission.