This paper describes the design of portable arrhythmia monitor and associated algorithm for automated diagnosis based-on microcomputer in the ambulatory ECG recording, analysis, and transmitting to a hospital host computer immediately through the telephone system. The device differs from Molter recorder in that it does not store normal ECG signals but captures and alarms the ECG during suspected abnormal periods and selected temporal epochs to a central hospital site. This porta file arrhythmia monitor makes use of a general purpose computer and software will be changed to meet the custom requirements of individual physicians and patients. At present it is very obvious that each cardiologist has his own method of analyzing ECG recordings and utilizes past experience more than the firm quantitative analysis of data.