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Wireless body sensor networks (WBSN) hold the promise to enable next-generation patient-centric tele-cardiology systems. A WBSN-enabled electrocardiogram (ECG) monitor consists of wearable, miniaturized and wireless sensors able to measure and wirelessly report cardiac signals to a WBSN coordinator, which is responsible for reporting them to the tele-health provider. However, state-of-the-art WBSN-enabled ECG monitors still fall short of the required functionality, miniaturization and energy efficiency. Among others, energy efficiency can be significantly improved through embedded ECG compression, which reduces airtime over energy-hungry wireless links. In this paper, we propose a novel real-time energy-aware ECG monitoring system based on the emerging compressed sensing (CS) signal acquisition/compression paradigm for WBSN applications. For the first time, CS is demonstrated as an advantageous real-time and energy-efficient ECG compression technique, with a computationally light ECG encoder on the state-of-the-art ShimmerTM wearable sensor node and a realtime decoder running on an iPhone (acting as a WBSN coordinator). Interestingly, our results show an average CPU usage of less than 5% on the node, and of less than 30% on the iPhone.

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