Breaking Fasts Ahead of Cardiac Caths

Conditions

• NSTEMI - Non-ST Segment Elevation MI
• Stable Angina (SA)
• Unstable Angina (UA)

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Non-Fasting — BEHAVIORAL
  No pre-procedural fasting required; participants may eat and drink as usual.
• Fasting — BEHAVIORAL
  Standard pre-procedural fasting (≥6 hours for solids, ≥2 hours for clear liquids) or "NPO at Midnight."

Study Details

The goal of this clinical trial is to find out whether fasting is necessary before urgent inpatient cardiac catheterizations. For patients presenting with urgent heart-related pain or even mild heart attacks, researchers want to know whether eating and drinking before their procedure improves comfort without raising the risk of complications. The study will answer: * Does eating and drinking before the procedure improve patient comfort? * Does it increase the risk of adverse events like vomiting, aspiration (food or liquid entering the lungs), breathing problems, or death, etc? Participants will be randomly assigned to either: * A standard fasting group (no food for 6 hours, no clear liquids for 2 hours), or * A no-fasting group (able to eat and drink as usual). Patients will complete brief surveys before the procedure to assess comfort and satisfaction. Researchers will also review medical records weekly and 30 days later to monitor for safety outcomes.

Key Dates

Start date

Oct 13, 2025

Status verified

Dec 2025

Primary completion

Jun 30, 2026

Completion

Jul 31, 2026

Study Design

Enrollment

400 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Active Comparator: Fasting
  Participants in this group will follow standard pre-procedural fasting guidelines: no solid food for at least 6 hours and no clear liquids for at least 2 hours before their cardiac catheterization or "NPO at Midnight."
• Experimental: Non-Fasting
  Participants in this group will have no dietary restrictions before their cardiac catheterization and may eat and drink as they normally would.

Primary Outcome Measure

Pre-procedural patient satisfaction and comfort [ Time Frame: Within one hour pre-cardiac catheterization ]

Central Contacts

• Samip Vasaiwala, MD
  312-375-8104
  [email protected]
• USF Institutional Review Board
  [email protected]

Locations (1)

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