The authors discuss aspects of randomness and determinism in electrocardiog
raphic signals. In particular, they take a critical look at attempts to app
ly methods of nonlinear time series analysis derived from the theory of det
erministic dynamical systems. It is argued that deterministic chaos is not
a likely explanation for the short-time variablity of the inter-beat interv
al times, except for certain pathologies. Conversely, densely sampled full
ECG recordings possess properties typical of deterministic signals. In the
last-mentioned case, methods of deterministic nonlinear time-series analysi
s can yield new insights.