The transthoracic application of synchronized direct current cardioversion (DCC) is widely used to terminate atrial fibrillation, atrial flutter, and other supraventricular tachyarrhythmia. DCC is a highly effective method for acute restoration of sinus rhythm. Although DCC is a relatively safe and frequently performed procedure, data on potential side effects are very rarely reported in the literature. The most serious complications associated with DCC are thromboembolism and intracranial hemorrhage. The true incidence of postcardioversion pulmonary edema is not known, but it is estimated to occur in 1%to 3% of patients, particularly those with coexistent heart disease. We report on a patient with a structurally normal heart who developed acute pulmonary edema after undergoing DCC. The patient had no evidence of myocardial injury according to an electrocardiogram and cardiac biomarkers. The patient was treated with intravenous diuretics. After 4 days, the pulmonary edema resolved.

This thesis deals with evaluation EKG in terms of classification rhythm and analysis HRV. In theoretic part of work are described basics of heart physiology and its usual pathology, basics of electrocardiography, evaluation EKG and standard methods of HRV evaluation. In practical part are described algorithms used in created application. Mainly describes technique of rhythm evaluation, ectopic rhythms and delineation error elimination, data preparing for HRV evaluation, drift removal from DES and HRV evaluation methods. Created program was tested on CSE and MIT- BIH database records. For lack of suitable data and absence of tested data, it wasn’t possible to test all the classification rules of used algorithms. Tested part of program appears reliable and functional.