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Elucidated in the paper are the key issues of modern electrocardiography (ECG). The negative results of large-scale use of automated ECG interpretation programs are under discussion. The possibility of removing the analogue filters from the electrophysiological apparatus and replacing them with the digital signal processing equipment is contemplated. The modern ECG examinations can not exist without simple automation the program security of information processing. The results of introducing the or apparatus-program complexes (APC) into practice as auxiliary analysis instruments in ECG are analyzed. The effects of APC introduction into daily ECG practice are shown to be advantageous. Finally, there is an analysis of issues related with global computerization in clinical examinations.