A system for heart performance characterization and abnormality detection includes an interface that receives a signal representing electrical activity of a patient heart occurring during individual heart cycles of multiple sequential heart cycles. A signal processor decomposes the received signal into multiple signals comprising a heart cycle signal primary wave and one or more heart cycle signal wavelets occurring at corresponding successively higher frequencies. The signal processor determines multiple amplitude representative values of the heart cycle signal primary wave and the one or more heart cycle signal wavelets. A comparator compares the multiple amplitude representative values with corresponding multiple predetermined threshold values to provide comparison indicators. A patient monitor in response to the comparison indicators indicating at least one of the amplitude representative values exceeds a respective predetermined threshold value, generates an alert message associated with the respective predetermined threshold.