2026, Number 2
Cardiovasc Metab Sci 2026; 37 (2)
Mexican consensus statement on fasting before cardiovascular diagnostic and therapeutic interventions
Moguel-Ancheita, Rafael; Olvera-Ruiz, Rafael; Jiménez-Carbajal, María Guadalupe; Lozoya-Morales, José Juan Florencio Constancio; González-Ramírez, Nelsy; Ponte-González, Giovanny; García, Yoloxóchitl; Cabrera-Arroyo, Carlos; Rodríguez-Diez, Gerardo; Félix-Téllez, Francisco Alejandro; Estrada-Jaime, Mario Alberto; Rodríguez-Herrera, Carlos Ixbalamqué; García-Arvizu, Gabriela Atenea; Narváez-Oriani, Carlos Alfredo; Nájar-Guerrero, Martha Sofía; López-Madrigal, Fabiola; Berni-Betancourt, Ana; Gutiérrez-García, Araceli; Colín-Álvarez, Erick Iván; Molina-Méndez, Francisco Javier; Lendewig-Barrera, María Virginia; Rivera-Rodríguez, Fátima Miroslava
ABSTRACT
Introduction: prolonged fasting before cardiac catheterization remains a routine practice in almost all institutions, despite the lack of solid evidence of its benefits. Objectives: to analyze and issue recommendations based on evidence and international consensus on preoperative fasting in elective cardiac catheterization procedures in adult and pediatric populations. Material and methods: this national consensus used the nominal group technique and Delphi methodology, with participation from organizations such as COMECITE, ANCAM, SOMEEC, and COMEXANE, and a systematic review of the literature in medical databases, including randomized controlled trials and meta-analyses. Results: the consensus established recommendations for adult and pediatric populations, based on current evidence. Conclusions: short or liberalized fasting is safe before cardiac catheterization procedures and is associated with superior patient satisfaction compared with prolonged fasting, without an increase in broncho aspiration-related complications.