ERC Model Consent
Risk Statements / Revision No.: 2
Date Revised: 1/16/2015
Page 1 of 1
Treadmill or Cycle Ergometer Test
You will meet with a doctor and exercise specialist at our Exercise Research Center at the Fred Hutchinson Cancer Research Center located in the Public Health Sciences building on the FHCRC campus at Southeast Lake Union. They will test your heart and fitness level with a resting electrocardiogram and an exercise treadmill or cycle ergometer test. The test will involve walking or running on a treadmill or pedaling a cycle ergometer for 8 to 12 minutes while breathing into a measurement tool.
Maximal Exercise Treadmill or Cycle Ergometer Test of Fitness
Your risk of a medical problem occurring during or after these tests is unlikely because we screen participants so that only participants with no known heart conditions will be tested. Persons with a serious heart condition will not be eligible for this study. You may feel tired after exercising during the treadmill or cycle ergometer test. Recovery generally occurs within 30 minutes. You will be continuously monitored and the test will be stopped at any time you ask (an emergency stop mechanism is available for subjects to use). A doctor will be available at all times while you are on the treadmill or cycle ergometer. In persons with an underlying heart condition, there is a slight (less than 1 chance in 1,000) risk of having a sudden heart attack and an even slighter (less than 2 chances in 10,000) risk of sudden death.
Submaximal Exercise Treadmill or Cycle Ergometer Test of Fitness
Your risk of a medical problem occurring during or after these tests is unlikely because we screen participants so that only participants with no known heart conditions will be tested. Persons with a serious heart condition will not be eligible for this study. You may feel tired after exercising during the treadmill or cycle ergometer test. Recovery generally occurs within 30 minutes. You will be continuously monitored and the test will be stopped at any time you ask (an emergency stop mechanism is available for subjects to use). A technician with Advanced Cardiac Life Support (ACLS) certification will be present at all times. In persons with an underlying heart condition, there is a slight (less than 1 chance in 1,000) risk of having a sudden heart attack and an even slighter (less than 2 chances in 10,000) risk of sudden death.
Exercise Program
The major risks of participating in this monitored program include fatigue, muscle soreness, and possible joint or skeletal injury. These risks will be reduced by proper warm-up/cool-down periods, instruction from a trained exercise specialist at a slow-paced progression which will be determined by your current fitness level and careful monitoring by an exercise specialist. Any exercise program has a risk of a sudden heart attack. However, this risk is greatly reduced by your having passed a treadmill or cycle ergometer test prior to entering the exercise program. The exercise specialists will teach you techniques to minimize joint or muscle injury when you exercise.