This paper describes the research effort to design, develop, and implement a microprocessorbased ECG data acquisition, reduction, and analysis system for operation in real-time. This unit can be attached to three-channel ECG carts and provide an immediate on-site analysis. The basic design and development efforts include (1) the data acquisition, reduction, and matrix assembly, (2) ECG arrhythmia, P-wave, and axis analysis, (3) ECG contour analysis, and (4) a real-time three-channel data acquisition unit. Decision tables are used in the analysis. The implementation of these projects into a small microprocessor-based unit coupled to a three-channel recorder is now in progress. This system, coupled with a small printer, will provide immediate on-site ECG analysis for most cardiovascular dysfunctions.