In spite of decreased mortality, coronary artery disease still remains the leadingcause of death almost all over the world. The existence of silent myocardial ischemia emphasizesthe need for monitoring of the asymptotic patient. Extended patient monitoring duringnormal activity has become increasingly important as a standard preventive cardiological procedurefor detection of cardiac arrhythmias, transient ischemic episodes and silent myocardialischemia. Existing holter devices mostly record “24 hour activity" and then perform off-linerecord analysis, so they are not real-time. A telemonitoring network devoted to medical teleserviceswill enable the implementation of complex medical teleservices (teleconsulations,telemonitoring, homecare, urgency medicine, etc.) for a broader range of patients and medicalprofessionals, mainly for family doctors and those people living in rural or isolated regions.Thus, a multimedia, scalable network, based on modern IT&C paradigms, will result.A first attempt for real-time electrocardiogram (ECG) acquisition, internet transmission andlocal analysis was already successfully done for patients monitoring.