Abstract: A wearable self-contained Smart ECG Sensor Patch (SEP) is provided for acquiring, analyzing and transmitting ECG data, heart rate and heart rate variability (heart rate variability) parameters to a host device via a secure Bluetooth low energy link. SEP incorporates all circuitry for acquisition, analysis and communication, and a battery on a small flexible substrate with two gold electrodes on the reverse side. Prior to on-board analysis, noise and motion artifacts are detected and ignored. SEP has been validated with archived ECG signals and testing on human subjects. The continuous acquisition and unique on-board analytics permit SEP to be used for prolonged monitoring scenarios with automatic alarm generations. SEP's aggressive power management techniques enable it to operate on a single coin battery for up to 250 hours. SEP suppresses transmissions of artifact data, which reduces power consumption.