The present invention pertains to methods for monitoring and evaluating a patients heart muscle function. For the present invention this requires simultaneously detecting both cardiac signals (i.e. an EKG) and perturbation signals caused by the environmental and physical factors that are influencing the patient. In particular, when a cardiac signal is not compliant with a predetermined cardio-profile, an anomaly results. The resultant anomaly, and the perturbation causing the anomaly are then evaluated to determine whether an appropriate action is required.