Portable heart rate monitor.

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UNIVERSITI TEKNIKAL MALAYSIA MELAKA

PORTABLE HEART RATE MONITOR

This report submitted in accordance with requirement of the Universiti Teknikal Malaysia Melaka (UTeM) for the Bachelor Degree in Electronic Engineering

Technology

(Industrial Electronics) (Hons.)

ZULHILMI BIN ZAID B 071110196 890725-01-5283

FACULTY OF ENGINEERING TECHNOLOGY 2015

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UNIVERSITI TEKNIKAL

BORANG PENGESAHA

TAJUK: Portable Heart Rate Monitor SESI PENGAJIAN: 2014

Saya ZULHILMI BIN ZAID

mengaku membenarkan Laporan PS

Teknikal Malaysia Melaka (UTeM) dengan syar 1. Laporan PSM adalah h

2. Perpustakaan Universiti Teknikal Malaysia untuk tujuan pengajian

3. Perpustakaan dibenarkan membuat salina pertukaran antara instit

4. **Sila tandakan ( )

SULIT

TERHAD

TIDAK TERHAD

Alamat Tetap: 11, Jalan Gaharu,

Taman Dato’ Abdul Rahman Ja’afar, 83000, Batu Pahat, Johor

Tarikh: 30 Januari 2015

UNIVERSITI TEKNIKAL M ALAYSIA MELAKA

BORANG PENGESAHAN STATUS LAPORAN PROJEK SARJ Portable Heart Rate Monitor

2014/15 Semester 1 ZULHILMI BIN ZAID

mengaku membenarkan Laporan PSM ini disimpan di Perpustakaan U Melaka (UTeM) dengan syarat-syarat kegunaan s

PSM adalah hak milik Universiti Teknikal Malaysia Melaka dan penulis. Perpustakaan Universiti Teknikal Malaysia Melaka dibenarkan membuat salin untuk tujuan pengajian sahaja dengan izin penulis.

Perpustakaan dibenarkan membuat salinan laporan PSM ini seb pertukaran antara institusi pengajian tinggi.

TIDAK TERHAD

(Mengandungi maklumat yang berdarjah keselamatan atau kepentingan Malaysia sebagaimana yang termaktub dalam AKTA RAHSIA RASMI 1972)

(Mengandungi maklumat TERHAD yang telah ditentukan oleh organisasi/badan di mana penyelidikan dijalankan)

Taman Dato’ Abdul Rahman Ja’afar, ohor

30 Januari 2015

Disahkan

Cop Rasmi:

Tarikh: 30 Januari 2015

MALAYSIA MELAKA

ARJANA MUDA

pan di Perpustakaan Universiti syarat kegunaan seperti berikut:

aysia Melaka dan penulis. elaka dibenarkan membuat salinan laporan PSM ini sebagai bahan

yang berdarjah keselamatan gaimana yang termaktub

yang telah ditentukan ana penyelidikan dijalankan)

Disahkanol eh:

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DECLARATION

I hereby, declared this report entitled “Portable Heart Rate Monitor” is the results of my own research except as cited in references.

Signature : ………. Author’s Name : ZULHILMI BIN ZAID

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APPROVAL

This report is submitted to the Faculty of Engineering Technology of UTeM as a partial fulfillment of the requirements for the degree of Bachelor of Engineering Technology (Electronics Industry) (Hons.). The member of the supervisory is as follow:

……… Puan Izadora binti Mustaffa

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ABSTRAK

Tesis ini menerangkan tentang pembangunan sebuah pemantau denyutan jantung mudah alih yang digunakan untuk memantau pesakit yang mempunyai kegagalan jantung kongestif (CHF). CHF adalah keadaan, apabila fungsi jantung yang bertindak sebagai pam tidak mampu untuk mengepam darah ke seluruh badan. CHF boleh disebabkan oleh pelbagai jenis penyakit yang melemahkan otot jantung, dan menyebabkan otot-otot pada bahagian jantung menjadi keras dan tebal. Pesakit CHF memerlukan pemantauan jantung yang berterusan dan kerap berjumpa doktor. Oleh itu, satu alat memantau jantung mudah alih dengan penyimpanan data dibangunkan untuk memudahkan pemantauan pesakit, seterusnya meningkatkan kualiti hidup pesakit. Kadar denyutan jantung bole dikira dengan mengukur masa daripada satu nilai puncah R ke nilai puncak R yang seterusnya. Proses pengiraan dilakukan oleh mikropengawal, Arduino Uno R3 dan data berkenaan kadar jantung disimpan di dalam kad mikro SD yang boleh diakses oleh doktor semasa rutin pemeriksaan. Kadar jantung yang dikira juga akan dipaparkan di paparan LCD.

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ABSTRACT

This thesis describes the development of a portable heart rate monitor used for monitoring congestive heart failure (CHF) patient. CHF is a condition in which the heart’s functuion as a pump is too weak to pump blood to the entire body. CHF patient requires continouos heart rate monitoring and need to visit to the doctor frequently. Therefore, a portable heart rate monitor with data storage is developed to faciliate the monitoring of patients, thus improving the quality of life of patients. The heart rate is calculated by measuring the time difference from one R-peak to the next R-peak. The calculation will be done by a microcontroller, Arduino Uno R3. The heart rate data is stored on an micro SD card which can be accessed by the doctor during routine check-ups. An alarm buzzer is also installed to notify the patient when his/her heart rate reached 110 BPM. The calculated heart rate will also be displayed on the an LCD display.

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DEDICATION

I dedicate my thesis work to my family and many friends. A special feeling of gratitude to give to my loving parents, Encik Zaid bin Haji Ali, Puan Badriah binti Omar, Muhammad Firdaus bin Musa and Nur Wahida binti Johari whose words of encouragement and push for tenacity ring in my ears.

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ACKNOWLEDGEMENT

Foremost, I would like to express my sincere gratitude to my supervisor Puan Izadora binti Mustaffa for the continuous support for my Bachelor Degree study and research, for her patience, motivation, enthusiasm, and immense knowledge. Her guidance helped me in all the time of research and writing of this thesis. I could not have imagined having a better supervisor for my Bachelor Degree study

Special thanks to all my peers, my family, and siblings for their moral support in completing this project. Lastly, thank you to everyone who had been to the crucial parts of realization of this project.

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TABLE OF CONTENT

Abstrak i

Abstract ii

Dedication iii

Acknowledgement iv

Table of Content v

List of Tables ix

List of Figures x

List Abbreviations, Symbols and Nomenclatures xi

CHAPTER 1: INTRODUCTION

1.0 Introduction 1

1.1 Background 1

1.2 Problem Statement 3

1.3 Objective 4

1.4 Scope of Work 5

1.5 Thesis Outline 5

1.6 Conclusion 6

CHAPTER 2: LITERATURE REVIEW

2.0 Introduction 8

2.1 Heart 8

2.1.1 Electrocardiograph (ECG) 10

2.1.2 Heart Rate 12

2.1.3 Beats Per Minute (BPM) 14

2.2 Existing Products 16

2.2.1 Suunto M2 17

2.2.2 Nidek ECG-701 Machine 18

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TABLE OF CONTENT

2.3 Arduino 21 2.2.1 Models of Arduino 23 2.2.2 Algorithm on Arduino 25

2.4 Memory Storage 26

2.5 Conclusion 28

CHAPTER 3: METHODOLOGY

3.0 Introduction 30

3.1 Hardware Development 35 3.1.1 Arduino Uno R3 35 3.1.2 Components 36

3.1.2.1 Pulse Sensor 36 3.1.2.2 Hitachi HD 44780 LCD Display 2x16 40 3.1.2.3 Catalex Micro SD Card Module 41 3.1.2.4 Light Emitting Diode (LED) 43

3.1.2.5 Buzzer 44

3.2 Software Development 45

3.2.1 Fritzing 45

3.2.2 Arduino Algorithm 46

3.2.3 MATLAB 49

3.3 Conclusion 51

CHAPTER 4: RESULTS AND DISCUSSION

4.0 Introduction 53

4.1 Result Obtained by the PHRM 53 4.1.1 LED Indicator and Alarm Buzzer 54 4.1.2 LCD Display 16x2 Outputs 56 4.1.3 Read and Write Micro SD Card 57

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TABLE OF CONTENT

4.3 Discussion 61

4.3.1 Hardware Troubleshoot 63 4.3.2 Software Troubleshoot 66

4.4 Conclusion 66

CHAPTER 5: CONCLUSION & FUTURE WORK 67

5.0 Introduction 67

5.1 Future Work 67

5.2 Conclusion 68

REFERENCES 70

APPENDICES

A. Algorithm for Arduino 73 B. Algorithm for MATLAB 80

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LIST OF TABLES

2.1

2.2 2.3 3.1 4.1

Technical specification of Suunto M2 Portable Heart Rate Monitor

Technical specification of Nidek ECG-701 Summary of the Arduino Uno

Summary of project development process Information regarding the three persons

20 24 34 59 4.2 The information about the detailed analysis each of the person 68

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LIST OF FIGURES

2.1 Heart system organ 9

2.2 The pattern for the ECG signal 11 2.3 Heart rate calculation is based on the peak value to another

R-peak

2.4 Heart rate value using manual method 14 2.5

2.6

Example of the chest strap in the market Suunto M2 Heart Rate Monitor

17 17

2.7 Nidek ECG-701 19

2.8 Early Arduino board with an RS-232 serial interface and Atmel ATmega microcontroller chip

2.9 2.10

2.11 2.12

Arduino Uno R3

Arduino is structured using the four parts and how the code works in order to run on the LED

Micro Secure Digital (SD) card The Catalex micro SD card module

24 26

27 28 3.1 Sequence flow of how the device operate 31 3.2 Sequence flow of the work scope focused during developing the

device

3.3 Main components involved for developing the device 32 3.4 Flow chart of the project development process 33 3.5 Arduino Uno R3 with its analog input and digital output pins 36

3.6 Pulse Sensor 37

3.7 Schematic diagram for the Pulse Sensor 38 3.8 Pulse Sensor is connected to the analog 39 3.9 Pulse Sensor is working after connected it to the Arduino Uno R3

and put into the casing

3.10 LCD Display for 2X16 40 3.11 Connection of the LCD into the Arduino 41

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LIST OF FIGURES

3.12 3.13

Catalex Micro SD card module

Schematic diagram for the Catalex micro SD card module

42 43 3.14 Various kind of LED in the circuit board 44 3.15 The breadboard view of the PHRM circuit, drawn with Fritzing 45 3.16 Algorithm flow chart of the PHRM 46 3.17

3.18

Flow chart of the PHRM

Subplot for each signal for the MATLAB

48 50 4.1 LED indicator is blinked after detected the pulse from the Pulse

Sensor

4.2 LED indicator is not blinking when there is no pulse detected by the Pulse Sensor

4.3 Alarm buzzer will turn on after the BPM reading is more than 110 BPM

4.4 LCD is in the OFF state, as the PHRM is not being turn ON 56 4.5 LCD read from the Arduino Uno and displayed “BPM: 114” 57 4.6 Shows the pulse data is being wrote on the data log 58 4.7 Size of the “Datalog.csv” file in the micro SD card is 9KB 59 4.8 Calculation for the real-time data log in order to see the suitable

size of the micro SD card to be used on the Portable Heart Rate Monitor

4.9 The size of the file for both Excel and Notepad 61 4.10

4.11

Arduino is powered up

Components are powered up by connected it to the Arduino Uno R3

64 64

4.12 The soldered component unto protoboard 65 4.13 Connection of the terminal connector unto the protoboard 65

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LIST OF ABBREVIATIONS, SYMBOLS AND

NOMENCLATURE

ALU - Arithmetic/Logic Unit BPM - Beats per Minute

CHF - Congestive Heart Failure CV - Cardiovascular

CS - Clock Select

DDR - Data Direction Register ECG - Electrocardiography EEG - Electroencephalography GB - Giga-byte

GND - Ground

GPIO - General Purpose input Output HF - Heart Failure

HRV - Heart-Rate Value IC - Integrated Circuit

IDE - Integrated Development Environment LCD - Liquid-Crystal Display

LED - Light-Emitting Diode LSI -

Liquid-MISO - Master In Slave Out MOSI - Master Out Slave In

PHRM - Portable Heart Rate Monitor PIN - Port Input

PWM - Pulse-Width Modulation RD - Read and Write

RS - Register Select

RISC - Reduced Instruction Set Computing SD - Secure Digital

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LIST OF ABBREVIATIONS, SYMBOLS AND

NOMENCLATURE

SCK - Slave Clock/System Clock VCC - IC power-supply pin

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1.0 Introduction

This chapter introduces the background, problem statements, and the objectives. Hence, it is next followed with scope of works, project significance and thesis outline. Each sub-topic relates each other in order to make the readers understand the flow of the project.

1.1 Background

CHF is the failure or lack of ability for the heart to withstand the cardiac output sufficient for each of the body’s need, and almost come from myocardial failure affecting either side of the ventricles, and thus causing fluid; which is mainly water, to leak from capillary blood vessels (Nieminen, 2012). The lack of strength to pump out the blood to the body causes congestion, or known as blockage in the heart. Excessive amount of sodium and water will accumulate in the heart tissue, and leaving a greater burden towards the heart to pump blood on it. A normal heart can pump for at least 60% of its blood volumes in a single beat; CHF lowers the blood volume from 30% to 20%. The blood circulation system becomes sluggish and also

INTRODUCTION

CHAPTER 1

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putting more work on the weak heart. With the circulatory system becoming overload, the volume of blood that returns to heart through the vein becomes double (Theresa A., McDonagh, 2011).

CHF happens as the heart cannot afford to pump sufficient blood to all of the body as either of the left ventricles, or the right ventricles, or both of muscles has stiffened and thicken. Certain symptoms can be seen for the person that is having CHF, such as difficulties in breathing, leg swelling, weakness and exercise intolerance. Person with CHF is said to take four times risks than a normal citizen to suffer cognitive impairment and demonstrate some diverse pattern of cognitive impairment (Ponrathi Athilingam, 2013). Studies shows that they have extracted out the possible outcomes of efficacy towards the CHF patient are sudden death, cardiovascular death, nonfatal myocardial infarction, stroke, heart failure (HF) hospitalization and the composite of cardiovascular (CV), while the outcomes of safety are hyperkalemia, renal failure, and hypotension. Patients with CHF are advised to have CHF therapy along with follow-ups each 3 months.

There are few symptoms, depend on which area of the body is most involved in the reduced pumping action:

a) When the left side of the heart (left ventricle) starts to fail, fluid collects in the lungs (edema). This extra fluid in the lungs (pulmonary congestion) makes it more difficult for the airways to expand as a person inhales. Breathing becomes more difficult and the person may feel short of breath, particularly with activity or when lying down

b) When the right side of the heart (right ventricle) starts to fail, fluid begins to collect in the feet and lower legs. Puffy leg swelling (edema) is a sign of right heart failure, especially if the edema is pitting edema. With pitting edema, a finger pressed on the swollen leg leaves an imprint. Non-pitting is not caused by heart failure

c) As the right heart failure worsens, the upper legs swell and eventually the abdomen collects fluid (ascites). Weight gain accompanies the fluid retention

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Heart failure may develop gradually over several years, or more quickly after a heart attack or a disease of the heart muscle. Congestive heart failure (CHF) is generally classified as systolic or diastolic heart failure and becomes progressively more common with increasing age. In addition, patients with risk factors for heart disease are more likely to develop congestive heart failure. (Davis, 2014). Figure 1.1 explains how the congestive heart failure (CHF) happened:

In Malaysia, CHF is on the rise, from a ratio of 5 per 1000 population/year into 30 cases per 1000 population/year in the general population, and accounts for 10% of medical admissions in Malaysia. A visit to the doctor’s office can be quite troublesome. The drive and the long wait can be a burden. The drive and the long wait can be a burden to the heart patient. This is where the motivation of developing a Portable Heart Rate Monitor (PHRM). The device will record the patient’s heart condition by recording the heart rate for durations of 2 minutes approximately (Chin, 2006).

1.2 Problem Statement

It is important for a CHF patient to monitor their heart rate continuously. Hospital based monitoring is troublesome and not sufficient. Doctor will only be able to monitor the patient’s heart condition during this time and in between 2 to 3 months after the first check-up.

Continuous monitoring of a CHF patient’s heart rate may help in predicting future onset of heart failure and its assessment will improve the quality of life of CHF patients.

A continuous monitoring system consisting of microcontroller, which is Arduino Uno R3, which can be implemented with memory storage, is developed. The portable device calculates the heart rate and then stores it in the micro SD card.

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notify the patient for immediate action. The stored data of the heart rate can be easily accessed by doctors using Microsoft Office Excel.

1.3 Objectives

A portable continuous monitoring device is developed for CHF patient in order to enhance their quality of life by reducing the amount of time spent at the doctor’s office detecting any heart rate abnormality at home. To do so, some objectives need to be achieved at the end of the project.

The device must be able to monitor all the heart rate in a continuous interval length of time. For the device to monitor the heart rate in a continuous interval length of time, it is important for the device to be able to display the information regarding the heart rate to the CHF patient on the liquid-crystal display (LCD) screen as well.

All the heart rate is being calculated in the microcontroller implemented in the device. The microcontroller job is to ensure that the arithmetic logic inside the microcontroller is able to do all the calculation information regarding to the heart rate. This can be seen as another objective need to be achieved at the end of the project, to see that the microcontroller is able to read the signal retrieved and do certain calculation towards the signal

For the device is able to save certain data on the memory storage, the micro secure digital (SD) card will be used to store certain value of heart rate that have been measured. An installation of the micro SD card module is likely to happen on it, as micro SD card is the medium being used to store the heart rate and next being represented by software.

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1.4 Scope of work

For PHRM to calculate the average heart rate beat for the patient and display patient’s heart rate; literature review regarding on electrocardiography (ECG), heart rate (HR) calculation algorithm on both MATLAB® and Arduino, memory storage, hardware and microcontroller implementation, display on LCD screen will be done, in order to establish essential knowledge related to the project.

The hardware needed for this project has been identified and acknowledged. They are Arduino Uno R3, Pulse Sensor, LCD display 2x16 and Micro SD Card module, along with other related electronic components. The next step is to construct and develop the hardware into a working PHRM. This involves the usage of software in designing the circuit such as Fritzing, Arduino IDE and Proteus as well.

Algorithm used in HR calculation in Arduino is written using BIOPAC Systems, Inc and the data is stored in SD card for later on. Then, from the working algorithm of the MATLAB®, next it is being compared with the real ECG that has been collected from the PHRM.

The capacity of micro SD card memory and the proper format of file to be saved on the SD card need to be considered as well. Since the data need to be stored continuously for at least 3 months, size of the file format and the type of the file must be sufficient for the micro SD card to hold

1.5 Thesis Outline

Portable Heart Rate Monitor (PHRM) is a combination of five chapters overall that contains and elaborates specific topics such as Introduction, Literature Review, Methodology, Result and Analysis, and Conclusion.

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Chapter 1: Introduction of the project. The brief explanation for the project will be given. The objectives of the project will be elaborated. It is followed by the explanation in the scope of project, objective doing this project and also the problem statements.

Chapter 2: Describes electrocardiography (ECG) waveform, heart rate (HR), beats per minute (BPM) and exisiting portable heart rate monitor/

Chapter 3: Methodology of the project. This chapter focusing on how the work scope is carried out and that includes hardware development and software implementation of the project.

Chapter 4: Result and Analysis. This chapter explains the result obtained regarding the performance and efficiency of the system in general term and overall systems operation.

Chapter 5: Conclusion. Conclusion and further development or future recommendation that can be applied in this project are being discussed in this last chapter

1.6 Conclusion

The CHF is a disease due to the failure or lack of ability for the heart to withstand the cardiac output sufficient for each of the body’s need. The lack of strength to pump out the blood to the body causes congestion, or known as blockage in the heart. Excessive amount of sodium and water will accumulate in the heart tissue, and leaving a greater burden towards the heart to pump blood on it.

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medical admissions in Malaysia. A visit to the doctor’s office can be quite troublesome. The drive and the long wait can be a burden.

Continuous monitoring of a CHF patient’s heart rate may help in predicting future onset of heart failure and its assessment will improve the quality of life of CHF patients. For PHRM to calculate the average heart rate beat for the patient and display patient’s heart rate; literature review regarding on electrocardiography (ECG), heart rate (HR) calculation algorithm on both MATLAB® and Arduino, memory storage, hardware and microcontroller implementation, display on LCD screen will be done, in order to establish essential knowledge related to the project.

Monitoring the pattern of a CHF patient’s heart rate may help in predicting future onset of heart failure and its assessment will improve the quality of life of CHF patients. The development of this device can improve many clinical outcomes as such devices have not been shown to the public before this.

CHF patients do not require frequent medical check-ups but they still need routine ups which have long intervals up to 3 months. In between these check-ups, patients have to self-monitor their health status. A self-monitoring device with data storage is very useful in order to have a clear and accurate health assessment during these medical check-ups.

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2.0 Introduction

This chapter explains what heart is, alongside with electrocardiography (ECG) signal, heart rate (HR), and beats per minute. Next, this chapter will also explain the existing project used what type of microcontroller, and the Arduino models and its algorithm

2.1 Heart

The heart is a muscular organ about the size of a fist, located behind and slightly left of the breastbone. The heart is one of the toughest muscles that use to pump up blood from it to the entire body. The heart has four chambers; right atrium, right ventricle, left atrium and left ventricle. The right atrium and ventricle are referred as right heart, and the counterparts of it, which are the left atrium and ventricle, are referred as left heart. The average heart will beat at 72 beat per minute and weighs for approximately 300 grams until 530 grams. The heart continuously works, even when our body is resting or sleeping. Figure 2.1 shows the heart and its components (Hall, 2011).

LITERATURE REVIEW

CHAPTER 2

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1.2 Problem Statement

Continuous monitoring of a CHF patient’s heart rate may help in predicting future onset of heart failure and its assessment will improve the quality of life of CHF patients.

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notify the patient for immediate action. The stored data of the heart rate can be easily accessed by doctors using Microsoft Office Excel.

1.3 Objectives

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1.4 Scope of work

1.5 Thesis Outline

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Chapter 2: Describes electrocardiography (ECG) waveform, heart rate (HR), beats per minute (BPM) and exisiting portable heart rate monitor/

Chapter 3: Methodology of the project. This chapter focusing on how the work scope is carried out and that includes hardware development and software implementation of the project.

Chapter 4: Result and Analysis. This chapter explains the result obtained regarding the performance and efficiency of the system in general term and overall systems operation.

Chapter 5: Conclusion. Conclusion and further development or future recommendation that can be applied in this project are being discussed in this last chapter

1.6 Conclusion

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medical admissions in Malaysia. A visit to the doctor’s office can be quite troublesome. The drive and the long wait can be a burden.

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Portable heart rate monitor.

UNIVERSITI TEKNIKAL MALAYSIA MELAKA