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In this paper we present the principles of a new platform developed for handling ECG signals in a telemedicine setting. We focus on three basic services: an ECG file management system (acquisition, storage, transmission); ECG-oriented teleconferencing; and realtime transmission of ECGs over the telephone network. This work has been carried out in the context of national and EU-sponsored projects. Its main purpose was to help patients from remote or isolated areas, like small islands, with insufficient health-care services, to get appropriate and experienced medical care directly from large central hospitals. We present the design and the basic operations of the ECG handling system.

The algorithm presented is based on parallel processing of the Electrocardiogram (:ECG) using the information contained in all 12 -simultaneously recorded-leads. A non-syntactic algorithm is used initially to extract the results in every one lead. The computing for each lead is done in 12 parallel processors and concurrently a cross-correlation and evaluation of the individual results is done in the main processor, in order to make the final decision about each detected characteristic. It turns out that this approach gives better and more reliable information than the known methods which are based on conventional methods.

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