The Message Queue Telementary Transport (MQTT) protocol is able to adjust the sending and receiving of messages to monitor in accordance with the user's preferences because the sending and receiving of messages is topic based on a specified topic, making it necessary to routinely monitor the condition of patients who have been diagnosed with heart problems from a distance. With the aim to perform a Quality of Service (QoS) analysis with throughput, delay, and packet loss parameters using Unshielded Twisted Pair internet transmission media (UTP) and Wireless, the goal of this research is to design and implement (MQTT) a heart rate monitoring device with an EKG module as a sensor and ESP32 as a microcontroller. On the Ubidots website, EKG signals are transmitted over the internet and shown in real time. QoS analysis is performed using the Wireshark application. Data was collected on two scenarios at intervals of 30 minutes, 1 hour, 2 hours, 5 hours, 8 hours, 12 hours, 18 hours, and 23 hours. The throughput, latency, and packet loss metrics used in this study's results cause different value variations; these are influenced by the weather, internet bandwidth, computer, and router specifications. According to testing, the tool is portable and has a 3000mAh battery, but it has the restriction that it can only be used with reliable internet and bandwidth.
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