Risks - h/p/cosmos 150/50 mercury Operating And Service Manual

3.3

Risks

In the event of overload of the patient due to wrong application and/or wrong assessment and/or unexpected problems,
the following risks, problems and injuries may occur. Risks are reduced by correct load dosing (according to the clinical
picture and condition of the patient). Especially for ergometry (stress-test) application, the patient is subject to additional
risk since the test is designed to stress the patient until cardiovascular problems may occur. The risk remains even in
the presence of trained, medical staff and even when medical equipment and a defibrillator for reanimation are
available. The higher risk cannot be reduced even with the knowledge of contraindications. Neither can loading capacity
nor cognition restrictions be excluded by contraindications.
The risk of falling and consequential injuries is reduced by the safety equipment and application of a fall prevention
system.
Remaining risks in ergometry / stress testing
The following complications are mentioned in the "Praxisleitlinien Ergometrie"
(Wonisch M, Berent R, Klicpera M, Laimer H, Marko C, Pokan R, Schmid P, Schwann H. [Practice Guidelines for
ExerciseTesting], J Kardiol 2008; 15 (Suppl A): 3-17)
Cardiac complications
Morbidity
Lethal complications
Non-lethal complications
Acute MCI
Acute cardiac death
Ventricular tachyarrhythmia
Supraventricular tachyarrhythmia
- in case of known paroxysmal
supraventricular arrhythmia
- atrial fibrillation, atrial flutter
Ventricular extrasystoly
Supraventricular extrasystoly
Paroxysmal atrial fibrillation
Transient left bundle-branch block
Bradyarrhythmia
Hypotony
Hypertensive blood pressure
regulation
Ventricular rupture
Papillary muscle rupture
Non-cardiac complications
Intracranial haemorrhage
Thromboembolic event
Transient global amnesia
Arthralgia
Myalgia
Low back pain
n.s.: not specified
© 2012 h/p/cosmos sports & medical gmbh
intended use, contraindications, risks
Frequency
< 0.05 %
0.03 – 0.04 %
0.07 – 0.15 %
0.035 – 0.1 %
< 0.005 %
0.05 % - 2.3 %
3.4 – 15 %
< 1 %
2 – 20 %
4 – 24 %
0.8 %
0.4 %
3 – 9 %
n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
file: n:\article\cos14310m5-v1_06hpc-en\20120504_cos14310m5-v1.06hpc-en_manual_h-p-cosmos_running_machine.docx
email@h-p-cosmos.com created 04.05.2012 printed 04.05.2012
& forbidden use
page: 16 of 191