AUTHOR=Panwar Aayush , Narendra Modigari , Arya Arnav , Raj Rohan , Kumar Arnab TITLE=Integrated portable ECG monitoring system with CNN classification for early arrhythmia detection JOURNAL=Frontiers in Digital Health VOLUME=Volume 7 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1535335 DOI=10.3389/fdgth.2025.1535335 ISSN=2673-253X ABSTRACT=IntroductionElectrocardiograms (ECGs) play a crucial role in diagnosing heart diseases by capturing the electrical activity of the heart. With the rising need for real-time cardiac monitoring, portable solutions have gained significance for timely detection and intervention. This study presents a portable ECG monitoring system incorporating Convolutional Neural Networks (CNNs) for accurate classification of cardiac abnormalities, including arrhythmias.MethodsThe proposed system consists of an Arduino Nano microcontroller interfaced with an AD8232 ECG sensor for real-time ECG signal acquisition. The collected ECG data undergoes preprocessing before being fed into CNN models trained on the MIT-BIH Arrhythmia dataset. The model is designed for both binary and multi-class classification, distinguishing normal and abnormal heart rhythms. Performance metrics, including accuracy, were evaluated against state-of-the-art approaches to assess classification effectiveness.ResultsExperimental evaluations demonstrate the CNN model’s high classification accuracy, achieving 98.35% in binary classification and 99.3% in multi-class classification. These results surpass existing benchmarks, highlighting the efficiency of the proposed system. The system's low-cost hardware and real-time classification capabilities enhance its suitability for continuous cardiac monitoring.DiscussionThe proposed ECG monitoring system presents a reliable and cost-effective solution for early arrhythmia detection. By leveraging CNNs, it ensures accurate classification of cardiac abnormalities, making it a promising tool for both clinical and remote healthcare settings. Its potential impact extends to real-time monitoring, early diagnosis, and personalized healthcare, contributing to improved cardiovascular health management.