There is an increasing demand for long-term ECG monitoring applications which are very low power, small size and capable of wireless data transmission. This paper presents an analog front-end and also modulator for long-term ECG recording purpose. The fully integrated system features three independent channels and a modulator. The analog front-end includes a voltage-to-time conversion and a tunable modulator to achieve a very low power consumption for wireless transmission of the data without analog to digital converter. The proposed system is designed and simulated in a 0.18μm\documentclass[12pt]{minimal}
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\begin{document}$$0.18\,\upmu \hbox {m}$$\end{document} CMOS technology and occupies only 0.245mm2\documentclass[12pt]{minimal}
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\begin{document}$$0.245\,\mathrm{mm}^{2}$$\end{document}. It can record ECG signal with 9.2-bit resolution while consuming only 0.36μW\documentclass[12pt]{minimal}
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\begin{document}$$0.36\,\upmu {\mathrm{W}}$$\end{document} per channel from a 0.9 V supply. Also, it can transmit data consuming just 0.72μW\documentclass[12pt]{minimal}
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\begin{document}$$0.72\,{\upmu }\mathrm{W}$$\end{document} per channel from a 0.9 V supply. The input referred noise of the readout channel is 2.01μVrms\documentclass[12pt]{minimal}
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\begin{document}$$2.01\,\upmu {\mathrm{V}}_{{{\rm rms}}}$$\end{document}.