Systems and methods for detecting an anomaly in a cardiovascular signal using hierarchical extremas and repetitions. The traditional systems and methods provide for some anomaly detection in the cardiovascular signal but do not consider the discrete nature and strict rising and falling patterns of the cardiovascular signal and frequency in terms of hierarchical maxima points and minima points. Embodiments of the present disclosure provide for detecting the anomaly in the cardiovascular signal using hierarchical extremas and repetitions by smoothening the cardiovascular signal, deriving sets of hierarchical extremas using window detection, identifying signal patterns based upon the sets of hierarchical extremas, identifying repetitions in the signal patterns based upon occurrences and randomness of occurrences of the signal patterns and classifying the cardiovascular signal as anomalous and non-anomalous for detecting the anomaly in the cardiovascular signal.