Reconsidering Pre-Procedural Fasting for Elective Percutaneous Cardiac Procedures

doi:10.1161/CIRCINTERVENTIONS.124.015089

. 2025 Apr;18(4):e015089.

doi: 10.1161/CIRCINTERVENTIONS.124.015089. Epub 2025 Mar 26.

Reconsidering Pre-Procedural Fasting for Elective Percutaneous Cardiac Procedures

Affiliations

¹ Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA (S.I.).
² Department of Cardiovascular Medicine, University of Illinois College of Medicine, Peoria (S.S.).
³ Department of Medicine, University of Massachusetts - Baystate Medical Center, Springfield (C.E.).
⁴ Cardiology Division, Cardiac Care and Vascular Medicine, Albert Einstein College of Medicine, Bronx, NY (L.M.R.A.).
⁵ Section of Cardiovascular Medicine (A.N., G.B., J.F., M.G.N.), Yale School of Medicine, New Haven, CT.
⁶ Department of Medicine (Z.A.), Yale School of Medicine, New Haven, CT.
⁷ Department of Cardiovascular Medicine, Baystate Medical Center and Division of Cardiovascular Medicine, University of Massachusetts-Baystate, Springfield (A.M.G.).
⁸ Inova Center of Outcomes Research, Inova Heart and Vascular Institute, Falls Church, VA (A.A.D.).
⁹ Johns Hopkins University School of Medicine, Baltimore, MD (A.A.D.).

PMID: 40135369
PMCID: PMC12063636 (available on 2026-04-01)
DOI: 10.1161/CIRCINTERVENTIONS.124.015089

Reconsidering Pre-Procedural Fasting for Elective Percutaneous Cardiac Procedures

Sammudeen Ibrahim et al. Circ Cardiovasc Interv. 2025 Apr.

. 2025 Apr;18(4):e015089.

doi: 10.1161/CIRCINTERVENTIONS.124.015089. Epub 2025 Mar 26.

Authors

Affiliations

¹ Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA (S.I.).
² Department of Cardiovascular Medicine, University of Illinois College of Medicine, Peoria (S.S.).
³ Department of Medicine, University of Massachusetts - Baystate Medical Center, Springfield (C.E.).
⁴ Cardiology Division, Cardiac Care and Vascular Medicine, Albert Einstein College of Medicine, Bronx, NY (L.M.R.A.).
⁵ Section of Cardiovascular Medicine (A.N., G.B., J.F., M.G.N.), Yale School of Medicine, New Haven, CT.
⁶ Department of Medicine (Z.A.), Yale School of Medicine, New Haven, CT.
⁷ Department of Cardiovascular Medicine, Baystate Medical Center and Division of Cardiovascular Medicine, University of Massachusetts-Baystate, Springfield (A.M.G.).
⁸ Inova Center of Outcomes Research, Inova Heart and Vascular Institute, Falls Church, VA (A.A.D.).
⁹ Johns Hopkins University School of Medicine, Baltimore, MD (A.A.D.).

PMID: 40135369
PMCID: PMC12063636 (available on 2026-04-01)
DOI: 10.1161/CIRCINTERVENTIONS.124.015089

No abstract available

Keywords: adult; fasting; hunger; nausea; thirst.

PubMed Disclaimer

Conflict of interest statement

Dr Nanna reports unrelated current research support from the American College of Cardiology Foundation supported by the George F. and Ann Harris Bellows Foundation, the Patient-Centered Outcomes Research Institute (PCORI), the Yale Claude D. Pepper Older Americans Independence Center (OAIC; P30AG021342), and the National Institute on Aging (K76AG088428). He has also received personal fees from Heartflow, Inc, Merck, and Novo Nordisk. Dr Goldsweig has received speaking fees from Philips and Edwards Lifesciences and has served as a consultant for Philips, Inari Medical, and Conformal Medical, all unrelated to the present research. Dr Frampton reports current research support from the PCORI. Dr Damluji receives research funding from the Pepper Scholars Program of the Johns Hopkins University Claude D. Pepper OAIC, funded by the National Institute on Aging (P30-AG021334) and he also receives mentored patient-oriented research career development award from the National Heart, Lung, and Blood Institute (K23-HL153771-01). The other authors report no conflicts.

References

1. Naidu SS, Abbott JD, Bagai J, Blankenship J, Garcia S, Iqbal SN, Kaul P, Khuddus MA, Kirkwood L, Manoukian SV, et al. SCAI expert consensus update on best practices in the cardiac catheterization laboratory: This statement was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) in April 2021. Catheter Cardiovasc Interv. 2021;98:255–276. doi: 10.1002/ccd.29744 - DOI - PubMed
1. Mishra A, Singh M, Kane M, Acker W, Kaluski E, Sattur S, Sethi A, Arora S, Sporn D. P4599: Strict versus no fasting prior to cardiac catheterization: a prospective evaluation of safety and clinical outcomes. Eur Heart J. 2019;40:ehz745.0983. doi: 10.1093/eurheartj/ehz745.0983 - DOI
1. Boukantar M, Chiaroni PM, Gallet R, Zamora P, Truong T, Mangiameli A, Rostain L, Tuffreau-Martin AS, Natella PA, Oubaya N, et al. A randomized controlled trial of nonfasting vs fasting before interventional coronary procedures: the TONIC trial. JACC Cardiovasc Interv. 2024;17:1200–1210. doi: 10.1016/j.jcin.2024.03.033 - DOI - PubMed
1. Bode K, Gerhards M, Doering M, Lucas J, Tijssen J, Dagres N, Hilbert S, Richter S, Nedios S, Lurz J, et al. A randomized trial of non-fasting vs. fasting for cardiac implantable electronic device procedures (Fast-CIED Study). Europace. 2022;24:1617–1626. doi: 10.1093/europace/euac081 - DOI - PubMed
1. Ferreira D, Hardy J, Meere W, Butel-Simoes L, Sritharan S, Ray M, French M, McGee M, O’Connor S, Whitehead N, et al. Fasting vs no fasting prior to catheterisation laboratory procedures: the SCOFF trial. Eur Heart J. 2024;45:4990–4998. doi: 10.1093/eurheartj/ehae573 - DOI - PubMed

Grants and funding

LinkOut - more resources

Full Text Sources
- Atypon
- Ovid Technologies, Inc.

[1] Naidu SS, Abbott JD, Bagai J, Blankenship J, Garcia S, Iqbal SN, Kaul P, Khuddus MA, Kirkwood L, Manoukian SV, et al. SCAI expert consensus update on best practices in the cardiac catheterization laboratory: This statement was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) in April 2021. Catheter Cardiovasc Interv. 2021;98:255–276. doi: 10.1002/ccd.29744 - DOI - PubMed

[2] Naidu SS, Abbott JD, Bagai J, Blankenship J, Garcia S, Iqbal SN, Kaul P, Khuddus MA, Kirkwood L, Manoukian SV, et al. SCAI expert consensus update on best practices in the cardiac catheterization laboratory: This statement was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) in April 2021. Catheter Cardiovasc Interv. 2021;98:255–276. doi: 10.1002/ccd.29744 - DOI - PubMed

[3] Mishra A, Singh M, Kane M, Acker W, Kaluski E, Sattur S, Sethi A, Arora S, Sporn D. P4599: Strict versus no fasting prior to cardiac catheterization: a prospective evaluation of safety and clinical outcomes. Eur Heart J. 2019;40:ehz745.0983. doi: 10.1093/eurheartj/ehz745.0983 - DOI

[4] Mishra A, Singh M, Kane M, Acker W, Kaluski E, Sattur S, Sethi A, Arora S, Sporn D. P4599: Strict versus no fasting prior to cardiac catheterization: a prospective evaluation of safety and clinical outcomes. Eur Heart J. 2019;40:ehz745.0983. doi: 10.1093/eurheartj/ehz745.0983 - DOI

[5] Boukantar M, Chiaroni PM, Gallet R, Zamora P, Truong T, Mangiameli A, Rostain L, Tuffreau-Martin AS, Natella PA, Oubaya N, et al. A randomized controlled trial of nonfasting vs fasting before interventional coronary procedures: the TONIC trial. JACC Cardiovasc Interv. 2024;17:1200–1210. doi: 10.1016/j.jcin.2024.03.033 - DOI - PubMed

[6] Boukantar M, Chiaroni PM, Gallet R, Zamora P, Truong T, Mangiameli A, Rostain L, Tuffreau-Martin AS, Natella PA, Oubaya N, et al. A randomized controlled trial of nonfasting vs fasting before interventional coronary procedures: the TONIC trial. JACC Cardiovasc Interv. 2024;17:1200–1210. doi: 10.1016/j.jcin.2024.03.033 - DOI - PubMed

[7] Bode K, Gerhards M, Doering M, Lucas J, Tijssen J, Dagres N, Hilbert S, Richter S, Nedios S, Lurz J, et al. A randomized trial of non-fasting vs. fasting for cardiac implantable electronic device procedures (Fast-CIED Study). Europace. 2022;24:1617–1626. doi: 10.1093/europace/euac081 - DOI - PubMed

[8] Bode K, Gerhards M, Doering M, Lucas J, Tijssen J, Dagres N, Hilbert S, Richter S, Nedios S, Lurz J, et al. A randomized trial of non-fasting vs. fasting for cardiac implantable electronic device procedures (Fast-CIED Study). Europace. 2022;24:1617–1626. doi: 10.1093/europace/euac081 - DOI - PubMed

[9] Ferreira D, Hardy J, Meere W, Butel-Simoes L, Sritharan S, Ray M, French M, McGee M, O’Connor S, Whitehead N, et al. Fasting vs no fasting prior to catheterisation laboratory procedures: the SCOFF trial. Eur Heart J. 2024;45:4990–4998. doi: 10.1093/eurheartj/ehae573 - DOI - PubMed

[10] Ferreira D, Hardy J, Meere W, Butel-Simoes L, Sritharan S, Ray M, French M, McGee M, O’Connor S, Whitehead N, et al. Fasting vs no fasting prior to catheterisation laboratory procedures: the SCOFF trial. Eur Heart J. 2024;45:4990–4998. doi: 10.1093/eurheartj/ehae573 - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Reconsidering Pre-Procedural Fasting for Elective Percutaneous Cardiac Procedures

Affiliations

Reconsidering Pre-Procedural Fasting for Elective Percutaneous Cardiac Procedures

Authors

Affiliations

Conflict of interest statement

Similar articles

References

Grants and funding

LinkOut - more resources

Full Text Sources