User's Manual

 Contraindications
Performing forced expiratory manoeuvres involved in spirometry testing may be contraindicated in certain conditions.
 Contraindications for Exercise testing
Absolute contraindications
• Acute MI (within 2 days)
• High-risk unstable angina
• Uncontrolled cardiac arrhythmias causing symptoms of hemodynamic compromise
• Active endocarditis
• Symptomatic severe aortic stenosis
• Decompensated symptomatic heart failure
• Acute pulmonary embolus or pulmonary infarction
• Acute noncardiac disorder that may affect exercise performance or be aggravated by exercise (eg, infection, renal failure, thyrotoxicosis)
• Acute myocarditis or pericarditis
• Physical disability that would preclude safe and adequate test performance
• Inability to obtain consent
Relative contraindications
• Left main coronary stenosis or its equivalent
• Moderate stenotic valvular heart disease
• Electrolyte abnormalities
• Tachyarrhythmias or bradyarrhythmias
• Atrial fibrillation with uncontrolled ventricular rate
• Hypertrophic cardiomyopathy
• Mental impairment leading to inability to cooperate
• High-degree AV block
Note: Relative contraindications can be superseded if benefits outweigh risks of exercise.
Read carefully the exercise testing chapter.
12 - Getting started - Contraindications