Faruk, N.Abdulkarim, A.Emmanuel, I.Folawiyo, Y.Adewole, K. S.Mojeed, H. A.Oloyede, A. A.Olawoyin, L. A.Sikiru, I. A.Nehemiah, M.Gital, A. Y.Chiroma, H.Ogunmodede, J. A.Almatairi, M.Katibi, I. A.2023-06-132023-06-1320210168-8227https://uilspace.unilorin.edu.ng/handle/20.500.12484/11168Avalability of low-cost,reliable,andportableElectrocardiography(ECG)devicesisstillvery onanannualbasisglobally.ThisismoreprevalentinLowandMiddleIncomeCountries CVDsareconfoundedbylatediagnosis,frequently,causedbylackofaccesstoornon availabilityofbasicdiagnosticmodalitiessuchastheECG.Henceeffectivemitigationof reliability,accuracyandenergyefficiency.Thispapertherefore,wasdevelopedtounder theeffectofCVDsinLMICsdependonthedevelopmentofsuchdevicesatlow-costwith (LMICs)wheretherearehugefinancialinstabilityandlackofcriticalinfrastructureand CardiovascularDiseases(CVDs)remainaserioushealthburdenclaimingmillionsoflives standthestateoftheartoflowcostECGacquisitionsystemswithrespecttodesignfea turesandsystemcapabilitiesfordifferentusecases.Inaddition,differentdesignoptions andtaxonomiesofavailablelowcostECGdevices,casestudiesreportsofefficacytests importantinthemedicalworldtoday.Despitethetremendoustechnologicaladvancement, supportservicesforthehealthcaresystem.Effortsaimedatreducingtheprevalenceof have been provided. The paper proposes a generalised ECG framework and provides implementation challenges and open research directionsthatshouldbeconsideredwhendevel opingsuchdevicesforpropermanagementofCVDs.enECG, Cardiovascular Disease, CVD, ECG acquisition Systems, Low-cost ECG devicesArticle