Instructions for Use
Resting & Stress ECG with seca ct330/331 and seca diagnostic 5.9
2.1.1 Indications and contraindications
Indications Resting ECG
→ Suspected cardiovascular system disorder (e.g. MI, CHD, cardiac
insufficiency, arterial hypertension, hypertrophy, myocarditis,
pericarditis)
→ Supervision and monitoring of patients with acute or chronic
cardiovascular disorders (e.g. MI, CHD, cardiac insufficiency, arterial
hypertension, hypertrophy, myocarditis, pericarditis)
→ To assess a preoperative risk
→ To assess a postoperative intervention
→ To assess and supervise medication therapy (in particular for
cardiologically active substances such as tricyclic antidepressants,
neuroleptics, etc.)
→ To assess structural heart problems with cardiac arrhythmia
(especially sinus tachycardia and sinus bradycardia)
→ Suspicion or monitoring of (cardiac) hypertrophy
→ To check for comorbidities (for example with chronic respiratory
disease)
→ As part of pacemaker therapy
→ For angina pectoris
→ For suspected or diagnosed arterial sclerosis
→ For suspected or diagnosed PAD (peripheral arterial disease)
→ For diagnosed renal arterial stenosis
→ To assess patients as part of a rehabilitation program
→ Acute coronary syndrome with no ST segment elevation (NSTE-
ACS)
Indications Stress ECG
→ For CHD diagnosis
→ Post-myocardial infarction
→ Before and after revascularisation measures for progress monitoring
→ For patients with diagnosed or suspected arrhythmia
→ For patients with arterial hypertension
→ To record physical resilience
Contraindications Stress ECG
Absolute:
→ Acute myocardial infarction
→ Unstable angina pectoris
→ Cardiac arrhythmia with symptomatology and/or impaired
haemodynamics
→ Symptomatic severe aortic stenosis
→ Decompensated cardiac insufficiency
→ Acute lung embolism
→ Acute myocarditis
→ Acute perimyocarditis
→ Acute aortic dissection
Relative:
→ Main stem stenosis
→ Moderate valvular disease
Sauer, G., Andresen, D.,
Cierpka, R., Lemke, B., Mibach,
F., Perings, Ch., & Vaerst, R.
(2005). Positionspapier zur
Durchführung von
Qualitätskontrollen bei Ruhe-,
Belastungs- und Langzeit-EKG.
Zeitschrift für Kardiologie,
94(12), 844–857.
https://doi.org/10.1007/s00392-
005-0320-4
Sauer, G., Andresen, D.,
Cierpka, R., Lemke, B., Mibach,
F., Perings, Ch., & Vaerst, R.
(2005). Positionspapier zur
Durchführung von
Qualitätskontrollen bei Ruhe-,
Belastungs- und Langzeit-EKG.
Zeitschrift für Kardiologie,
94(12), 844–857.
https://doi.org/10.1007/s00392-
005-0320-4
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