Abstract: The present invention relates to methods and systems for evaluating abnormalities in electrocardiograms (ECGs), including abnormalities associates with cardiac ischemia. More particularly, the present invention relates to an automated system and method for interpreting any abnormalities present in an electrocardiogram (ECG), including those abnormalities associated with cardiac ischemia. In one embodiment, the present invention relates to a method for monitoring abnormalities in an ECG, the method comprising the steps of: (a) gathering at least one ECG; (b) subjecting the at least one ECG to a QRS detection algorithm in order to scan for R-peak location; (c) calculating the Hermite coefficients corresponding to the individual ECG complexes from each individual ECG; and (d) subjecting the Hermite coefficients to a Neural Network in order to determine the present and/or absence of ECG abnormalities.