title: Digital transmission of 12-lead electrocardiograms and duplex speech in the telephone bandwidth.
abstract: A system was developed which allowed the simultaneous communication of digitized, full duplex speech and electrocardiography (ECG) signals in realtime. A single band-limited channel was used over a standard telephone line providing 3 kHz bandwidth. The full duplex speech was compressed to 2400 bit/s using linear predictive coding, while multiple ECG signals were processed by a novel ECG compression technique. Extensive use of digital signal processing reduced the combined bit rate to less than 9600 bit/s, allowing the use of low-cost commercial modems. The ECG communications system was tested in clinical trials. It enabled a hospital-based clinician to provide diagnostic and treatment advice to a remote location over the standard telephone network.
authors.affiliation: Northern Ireland Bio-Engineering Centre, University of Ulster, UK.
authors.forename: J J
authors.initials: JJ
authors.lastname: McKee
authors.forename: N E
authors.initials: NE
authors.lastname: Evans
authors.forename: F J
authors.initials: FJ
authors.lastname: Owens
mesh_terms: D000703:Analog-Digital Conversion; D004562:Electrocardiography / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019114:Remote Consultation / Q000295:instrumentation*; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013016:Sound; D013689:Telephone / Q000295:instrumentation*