intended use, contraindications, risks
&
forbidden use
file: n:\article\cos14310m5-v1_08hpc-en\20150130_cos14310m5-v1.08hpc-en_instructions_for_use_h-p-cosmos_treadmill.doc
© 2015 h/p/cosmos sports & medical gmbh author: fh [email protected] created 30.01.2015 printed 30.01.2015 page: 16 of 216
3.2
Contraindications
Contraindications have to be excluded before the treadmill is used.
It makes sense to distinguish between absolute and relative contraindications. In case of relative contraindications, the
application may be started if the possible benefits exceed the risks of application. The decision has to be made by a
medical doctor. In case of relative contraindications permanent observation of the patient by medical staff is obligatory.
Absolute contraindications:
N
Acute myocardial infarction (within 2 d)
N
Instable angina pectoris
N
Cardiac arrhythmia pathology and/or limited hemodynamics
N
Symptomatic massive aortic stenosis
N
Uncompensated / uncontrolled heart insufficiency
N
Acute pulmonary embolism or pulmonary infarction
N
Acute endocarditis
,
myocarditis, pericarditis
N
Acute aortic dissection
N
Acute coronary syndrome
N
Acute phlebothrombosis of the lower extremities
N
Febrile infections
N
Pregnancy
N
Acute thrombosis
N
Fresh wounds e.g. after surgery
N
Acute fracture
N
Damaged disc or traumatic disease of the spine
N
Epilepsy
N
Inflammations
N
Acute migraine
Relative contraindications:
N
Left main coronary stenosis
N
Main artery disease
N
Cardiac valve disease of moderate severity
N
Known electrolyte imbalance
N
Arterial hypertonia (RR > 200 mm Hg syst. > 110 mm Hg diast.)
N
Tachyarrhythmia or bradyarrhythmia
N
Hypertrophic cardiomyopathy and other forms of outflow tract obstruction
N
Higher degree atrioventricular AV-blocking
N
Anemia
N
Physical and/or mental disabilities leading to inability to exercise adequately
Also see following guidelines:
Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung e.V. (
http://leitlinien.dgk.org
).
American College of Cardiology Foundation -
www.acc.org
American Heart Association -
www.americanheart.org
http://my.americanheart.org/idc/groups/ahaecc-internal/@wcm/@sop/documents/downloadable/ucm_423807.pdf
Further contraindications may occur. This has to be evaluated by the responsible medical doctor.
