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
❚
uncontrolled heart failure
❚
dissecting aneurysm
❚
recent aortic surgery and ECG abnormalities, such as abnormal ST-segment response (horizontal, planar or
downslopingdepression of >1 mm, T-wave elevation of > 1 mm in leads without Q-waves, and Twavechanges such as inversion
and pseudo-normalization when an inverted T-wave becomes upright.
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.)
Copyrigth: h/p/cosmos sports & medical gmbh
operation manual: cos105000_170-190_65_en rev. 1.05 dated 22.09.2021
page 13 of 97