Performance Diagnostic


Performance Diagnostics is a cardiovascular stress test that uses treadmill, bicycle exercise or arm ergometry with electrocardiography (ECG) and blood pressure monitoring. 
Treadmill stress testing is indicated for diagnosis and prognosis of cardiovascular disease, specifically CAD. Contraindications have been outlined in guidelines from the American College of Cardiology (ACC) and the American Heart Association (AHA).

Treadmill Stress Testing 
Exercise capacity is reported in terms of estimated metabolic equivalents of task (METs). The MET unit reflects the resting volume oxygen consumption per minute (VO2) for a 70-kg, 40-year-old man, with 1 MET equivalent to 3.5 mL/min/kg of body weight.
In the standard Bruce protocol, the starting point (ie, stage 1) is 1.7 mph at a 10% grade (5 METs). Stage 2 is 2.5 mph at a 12% grade (7 METs). Stage 3 is 3.4 mph at a 14% grade (9 METs). This protocol includes 3-minute periods to allow achievement of a steady state before workload is increased.
The modified Bruce protocol has 2 warm up stages, each lasting 3 minutes. The first is at 1.7 mph and a 0% grade, and the second is at 1.7 mph and a 5% grade. This protocol it is most often used in older individuals or those whose exercise capacity is limited by cardiac disease.
The Bruce protocol has larger increments between stages than do other protocols, such as the Naughton, Weber, and Asymptomatic Cardiac Ischemia Pilot (ACIP) study protocols, all of which start with less than 2 METs at 2 mph and increase in 1- to 1.5-MET increments between stages.


Product Component
• Computer programs, ECG. 

• COSMED K4 b2 Wireless ECG- devices and Ergo-Spirometry Systems

• (2 ) h/p/cosmos Sirius Lactic test meters 
• Polar wireless, 3- channel receiver

• PC, Desktop

• Monitor LCD 22"
• Laser Printer.


Running machine h/p/cosmos pulsar 3p description
Drive motor: 4.3kW (5.8 HP) 3-phase A.C. motor.
Running surface: 190 x 65 cm.
Speed: 0 ... 40 km/h.
Elevation: -25 ... +25 %.
2 interface ports com1 / com2 for PC-, ECG, Ergo spirometry, Blood pressure system or printer. Compatible to most of the systems worldwide.
Incl. PC software h/p/cosmos para graphics for device control and visualization 
Interface cable: RS232 
User Terminal 
Safety arch with fall stop incl. chest belt
h/p/cosmos Sirius lactate test meter - Measurement within 15 seconds, storage of 250 values.
h/p/cosmos Sirius lactate test strips, box with 72 test strips plus control-solution.
Software h/p/cosmos para analysis 2.0 Professional (sports medical evaluation software with integrated treadmill control software and training plan).

Alternative Treadmills
• h/p/cosmos venus 
• h/p/cosmos quasar med

COSMED K4 b2 (CPET) mobile system description
• Pulmonary Gas Exchange (VO2, VCO2)
• Breath by Breath Technology
• Telemetry Data Transmission up to 800m
• Indirect Calorimetry
• Integrated GPS System
• Integrated Oxygen Saturation (SpO2)
• Integrated 12-lead Stress Testing ECG

Alternative COSMED CPET Systems
• Stationary CPET (Quark CPET)
• Desktop Clinical CPET (FIT MATE MED)


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