%0 Journal Article %T Design of an Open Remote Electrocardiogram (ECG) Service %J Future Internet | An Open Access Journal from MDPI %D 2019 %R https://doi.org/10.3390/fi11040101 %X Currently, the deployment of services for real-time delivery of an electrocardiogram to a remote site has a cost that prevents its widespread diffusion, which would contribute to saving lives with prevention, assistance and rescue efficiency. To fill this gap, we introduce the design of a remote electrocardiogram service that privileges open, low-cost options. The architecture is based on the HyperText Transfer Protocol (HTTP) and uses commercial off-the-shelf devices to implement the sensor on the patient¡¯s side. The doctor uses a laptop browser to display the tracing, and a cloud computing instance connects the two using WebSockets. A prototype is built to evaluate overall performance, the power consumption of the patient¡¯s side device, and the quality of rendering on doctor¡¯s browser. The patient¡¯s sensor prototype device is portable, and its power consumption is below 1 Watt, thus allowing a daylong autonomy when operated on batteries. Its cost is below 50$, and the required hardware is commercially available. The whole design is ready for on-field evaluation, and it is available in a public repository. View Full-Tex %U https://www.mdpi.com/1999-5903/11/4/101