16 Dec 2019

Arrhythmia Monitoring System: Independent, and Real-Time Heart Detection

MALANG, Telkom University – Telkom University (Tel-U) in collaboration with PT Inti, launched an innovative product, Arrhythmia Monitoring System, Monday (16/12) at RSUD dr. Saiful Anwar, Malang. The launch of the research results of the Industrial Technology Development Program (PPTI), witnessed by the Director of Industrial Technology Development of the Ministry of Research and Technology / National Research and Innovation Agency, Dr. Eng. Hotmatua Daulay, M.Eng., B.Eng.Arrhythmia Monitoring System itself is a heart recording tool independently to detect Arrhythmia that was developed with the Internet of Things (IoT) system so that it can be seen in real-time.

“This research product is a tangible manifestation of tertiary institutions in realizing the independence of medical devices in Indonesia,” said Telkom University Rector, Prof. Adiwijaya.”In the past, when you had to do a heart recording, people had to go to a medical person or doctor at a hospital. With this tool, the patient makes it possible to record heart pressure at home. In addition, doctors can also get heart rhythm recording data in real-time. This has never been done before with a heart recording device, “said the Rector of Telkom University.

The Arrhythmia Monitoring System is the result of research by Tel-U lecturer and researcher Satria Mandala, Ph.D. since he was still working at Universiti Teknologi Malaysia. Through a research grant entitled “Real-time Monitoring Ventricular Arrhythmias Based on Artificial Intelligence Algorithms in Android Smartphones” in collaboration with the Malaysian Heart Institute (IJN). After returning to Indonesia, Kemenristek welcomed his idea to realize the prototype of Arrhythmia detection. Through the PPTI Grant from 2017 to 2019, finally, this Arrhythmia detection prototype was successfully made.

The process of research and development of the Arrhythmia Monitoring System is relatively short, only three years. In 2017, researchers succeeded in making a simple prototype of Arrhythmia detection. In this prototype, the processor architecture still uses a 32-bit single processor, WIFI-based data communication and the type of Arrhythmia detected are PAC, PVC, and VT.

In the second year of funding, the prototype architecture was changed to a 32-bit dual-core processor, WIFI-based data communication and the type of Arrhythmia detected were PAC, PVC, AF, and VT. Clinical trials began on 30 patients from RSUD dr. Saiful Anwar, Malang. In the third year of funding, the processor still uses a 32-bit dual-core processor, but data communication is changed to Bluetooth, making it three times more energy-efficient than using WIFI. The type of arrhythmia that can be detected also increases to PAC, PVC, AF, VT, and VF. Clinical trials have been carried out on 100 patients at the same hospital before.There are six advantages offered by the Arrhythmia Monitoring System compared to other heart recording products. First, portable design. Second, saving energy. Third, effective and efficient because it uses 4.0 IoT technology for data communication. Furthermore, being able to detect Malignant Arrhythmia (VT / VF) in Real-time and send notifications (alerts) to doctors and patients and their families. Then, Flexible Arrhythmias monitoring (Home-based Monitoring and Hospital-Based Monitoring). Finally, Able to detect Arrhythmia comprehensively (more than one type of arrhythmia: PAC, PVC, AF, and VT / VF as well as several heart rate parameters such as Heart Rate (HR), minimum RR length, maximum RR, and average RR. Detection can be performed on-demand, the detection results can be seen immediately after the recording is complete, there is no need to wait three days like other products, besides that, the accuracy, sensitivity, and specificity of detection are high.”

Based on the results of trials on 100 patients at the hospital Dr. Saiful Anwar, Malang, compared to existing tools, the accuracy of the Arrhythmia Monitoring System is almost the same, reaching 80 – 85%, “Satria said.

In addition to high data accuracy, this tool is cheaper so it can be considered a complete package. “In terms of practicality and scholarship, there is an Arrhythmia Monitoring System. The price is much cheaper than the existing equipment because the Domestic Composition Rate (TKDN) is almost 100%. So, it is very possible for this tool to be mass-produced. If so far the heart recording devices commonly used are imported, with a value of up to Rp 80 million per device. While the Arrhythmia Monitoring System will only cost around Rp. 7 million per unit, “he continued.

With the Arrhythmia Monitoring System, the Chancellor of Telkom University hopes that all heart health services from the primary to tertiary levels from the Central Hospital to the regions can be accessed so that the results of this research are clearly beneficial to the wider community. “

At the moment we are trying to increase the number of Arrhythmia Monitoring System users. If the patient had to go to a complete cardiac center in the past, our imagination could operate at the level of the Community Health Center (Puskesmas). So, everyone can access this service, no need to go far to a large hospital. Doctors will also be easier to monitor the condition of patients in real-time because if there are abnormalities in the heart rhythm, there will be a notification on the smartphone if the patient is experiencing interference, “he concluded.

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