Long-term regulation of beat-to-beat variability involves several diff
erent kinds of controls. A linear approach performed by parametric mod
els enhances the short-term regulation of the autonomic nervous system
. Some non-linear long-term regulation can be assessed by the chaotic
deterministic approach applied to the beat-to-beat variability of the
discrete RR-interval series, extracted from the ECG. For chaotic deter
ministic systems, trajectories of the state vector describe a strange
attractor characterized by a fractal of dimension D. Signals are suppo
sed to be generated by a deterministic and finite dimensional but non-
linear dynamic system with trajectories in a multi-dimensional space-s
tate. We estimated the fractal dimension through the Grassberger and P
rocaccia algorithm and Self-Similarity approaches of the 24-h heart-ra
te variability (HRV) signal in different physiological and pathologica
l conditions such as severe heart failure, or after heart transplantat
ion. State-space representations through Return Maps are also obtained
. Differences between physiological and pathological cases have been a
ssessed and generally a decrease in the system complexity is correlate
d to pathological conditions.