{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:10Z","timestamp":1786977370574,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Current guidelines recommend routine fasting before cardiac catheterization under conscious sedation. However, data supporting this practice have been limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to compare the safety and patient well\u2010being of a non\u2010fasting strategy to standard fasting in patients who undergo heart catheterization procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a meta\u2010analysis of randomized studies comparing fasting versus non\u2010fasting before cardiac catheterization. We systematically reviewed PubMed, Embase, and Cochrane databases until October 2024. We incorporated unpublished subgroup data from the previously published SCOFF Trial, exclusively on patients who underwent catheterization procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 7 RCTs comprising 3289 patients who underwent cardiac catheterization procedures. The pooled analysis demonstrated the non\u2010inferiority of the non\u2010fasting strategy, with no significant differences in the incidences of nausea\/vomiting (RR 0.90; 95% CI 0.50\u22121.61;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.72), hypoglycemia (RR 0.78; 95% CI 0.45\u22121.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.38), acute kidney injury (RR 1.45; 95% CI 0.77\u22122.75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.251), and length of hospital stay (SMD 0.005, 95% CI \u22120.109 to 0.099,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.92) compared to the fasting strategy. The non\u2010fasting strategy was significantly associated with reduced rates of intraprocedural hypotension and showed a statistically significant improvement in overall patient satisfaction (SMD \u22120.749; 95% CI \u22121.26; \u22120.234,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) when compared to the fasting strategy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A non\u2010fasting strategy before cardiac catheterization procedures is as safe as the standard fasting protocol and demonstrates a significant improvement of overall patient satisfaction. These findings support the consideration of non\u2010fasting protocols as a patient\u2010centered approach that maintains safety while enhancing the patient experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31547","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T02:25:53Z","timestamp":1745807153000},"page":"408-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fasting Versus Non\u2010Fasting Before Cardiac Catheterization: A Systematic Review and Meta\u2010Analysis of Randomized Controlled Trials"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0995-4313","authenticated-orcid":false,"given":"Juliana","family":"Muniz","sequence":"first","affiliation":[{"name":"Internal Medicine Department Schmieder Klinik Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio O.","family":"Gon\u00e7alves Neto","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1 Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz A. A. H.","family":"Morais","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio CESMAC Macei\u00f3 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camil","family":"Suciu\u2010Bogdan","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Schmieder Klinik Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Cardiovascular Department John Hunter Hospital Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao","family":"Braghiroli","sequence":"additional","affiliation":[{"name":"Department of Cardiology Jackson Memorial Hospital  Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio F.","family":"Camara","sequence":"additional","affiliation":[{"name":"Heart Institute of Sao Paulo (InCor) University of Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique B.","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Heart Institute of Sao Paulo (InCor) University of Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001452"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14892"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29744"},{"key":"e_1_2_10_5_1","first-page":"102","article-title":"Is Not Fasting Before Cardiac Catheterisation Better Than Fasting? 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