A thorough history and physical examination should be obtained prior to cardiac catheterization.  Based upon Appropriate Use Criteria, the indications for cardiac catheterization and coronary angiography should be carefully documented in the medical record.  A thorough history should be obtained regarding prior development of an allergic reaction following iodinated contrast administration or shellfish ingestion.  Preoperative medications should be carefully documented.  Among diabetic<unk> s, Neutral Protamine Hydrolase (NPH) insulin can cause hypotension when administered with protamine and metformin administration along with iodinated contrast administration can cause severe lactic acidosis.
Preparation of the patient for diagnostic catheterization
Cardiac catheterization pre-procedure evaluation
Cardiac risk assessment prior to non-cardiac surgery
Introduction to ECG
Management of the thrombotic lesion
Electrophysiology study and ablation discharge instructions
PCI in the patient with refractory ventricular arrhythmia
PCI in the patient at risk of bleeding