Study Comparing Fasting and Non-Fasting Before Urgent Cardiac Catheterization in Adults with Stable or Unstable Angina and Low-Risk NSTEMI

What this Trial Is About

Researchers are studying whether fasting is necessary before urgent inpatient cardiac catheterizations in patients experiencing urgent heart-related pain or mild heart attacks. The trial aims to find out if eating and drinking before the procedure improves patient comfort without increasing risks such as vomiting, aspiration, breathing problems, or death. This randomized clinical trial focuses on adults undergoing urgent cardiac catheterization for worsening angina and low-risk acute coronary syndromes, with planned moderate sedation. Participants will be randomly assigned to one of two groups a standard fasting group that abstains from solid food for at least 6 hours and clear liquids for 2 hours before the procedure, or a no-fasting group that may eat and drink as usual. The study is open-label and non-blinded, with proceduralists aware of group assignment but outcome assessments conducted by blinded personnel. The trial will provide data on the necessity and impact of fasting in this patient population. During the study, participants will complete brief surveys assessing comfort and satisfaction within one hour before the procedure. Researchers will also monitor safety outcomes by reviewing medical records weekly and at 30 days after the procedure. Secondary outcomes include measures such as blood pressure stability, blood sugar levels, respiratory complications, ICU admissions, sedation use, and mortality within 30 days. The total participation duration includes the procedure and follow-up monitoring for up to 30 days.

Breaking Fasts Ahead of Cardiac Caths