  A comprehensive survey revealed that many patients of Acute Myocardial
Infarction reach to the hospital so late to deliver an effective treatment.
This leads to poor treatment outcome which increases the mortality rates.
Multiple reasons such as lack of diagnostic facilities in the rural health care
centers and absence of cardiologists in Emergency Rooms inhibit the timely
treatment. In this study, we aimed to develop an effective system to
pre-hospital management of Acute Myocardial Infarction. The effectiveness of
early thrombolysis in Myocardial Infarction is well established, particularly
with regard to its positive effect on reducing the mortality rates. Our
proposed system by using tele-electrocardiography technology enables
cardiologist to analyze the patient's signal far away from a medical center.
This system transmits the collected ECG signal as well some vital signs to the
medical center by using internet network. In order to review and analyze the
recorded data, an ECG Viewer software is added to this system. The automatic
measurement algorithm and some additional tools embedded in the ECG Viewer
provide a convenient platform for ECG signal analysis by the cardiologist in
the medical center. The designed system has been tested as a prototype in
Tehran Emergency Service Center. The evaluation of the proposed system shows
acceptable results in recording, transmission, and accurate analysis of ECG
signals to early diagnosis of Acute Myocardial Infarction.
