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cos105000_170-190_65, rev. 1.03
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3.5 Contraindications
Absolute contraindications
(have to be excluded before the treadmill is used)
❚
Acute myocardial infarction (within 2 days)
❚
Instable angina pectoris
❚
Cardiac arrhythmia pathology and/or limited hemodynamics
❚
Symptomatic massive aortic stenosis
❚
Uncompensated / uncontrolled heart insufficiency
❚
Acute pulmonary embolism or pulmonary infarction
❚
Acute endocarditis, myocarditis, pericarditis
❚
Acute aortic dissection
❚
Acute coronary syndrome
❚
Acute phlebothrombosis of the lower extremities
❚
Febrile infections
❚
Pregnancy
❚
Acute thrombosis
❚
Fresh wounds e.g. after surgery
❚
Acute fracture
❚
Damaged disc or traumatic disease of the spine
❚
Epilepsy
❚
Inflammations
❚
Acute migraine
Relative contraindications
(The application may be started if the possible benefits exceed the risks.
The decision has to be made by the medical doctor before the treadmill is used)
❚
Left main coronary stenosis
❚
Main artery disease
❚
Cardiac valve disease of moderate severity
❚
Known electrolyte imbalance
❚
Arterial hypertonia (RR > 200 mm Hg syst. > 110 mm Hg diast.)
❚
Tachyarrhythmia or bradyarrhythmia
❚
Hypertrophic cardiomyopathy and other forms of outflow tract obstruction
❚
Higher degree atrioventricular AV-blocking
❚
Anemia
❚
Physical and/or mental disabilities leading to inability to exercise adequately
❚
Partially invasive medical devices (probes, infusions, catheters, external fixators, etc.)
❚
Cardiac pacemaker
❚
Visual impairment (vision < 30% acc. to WHO)
Further contraindications may occur. This has to be evaluated by the medical doctor.
In case of relative contraindications permanent observation of the subject by medical staff is obligatory.
Sources:
http://leitlinien.dgk.org (German Cardiac Society)
www.acc.org
(American College of Cardiology Foundation)
www.americanheart.org (American Heart Association)
http://my.americanheart.org/idc/groups/ahaecc-internal/@wcm/@sop/documents/downloadable/ucm_423807.pdf
med
