Exclusion Criteria MCC recognizes the fact that certain patients are not appropriate for cardiac catheterization in a free-standing facility; therefore, the lists of relative contraindications, as well as those considered to be absolute have been considered in the development of the exclusion criteria adopted by MCC. Some contraindications are classified as relative. Relative contraindications include all intercurrent conditions which are most often temporary, reversible, or correctable, and where correction would substantially improve the safety of the procedure. Absolute contraindications are that in which there is general agreement that ambulatory catheterization in any setting is inappropriate. In consultation with the medical community, the Medical Director of MCC has developed a list of contraindications to performance of a cardiac catheterization in an outpatient setting. The following is a list of contraindications, which will be used to exclude a patient from having a cardiac catheterization procedure at MCC. Any patient requiring life support, such as a respirator, suction, or other methods of life support requiring continuous support equipment shall be excluded from admission to Midwest Cardiovascular Center. Please answer the following questions to check if you are a candidate for Midwest Cardiovascular Center. YES NO Recent severe chest pain at rest with EKG evidence of ischemia Myocardial infarction within last 3 days Uncompensated congestive heart failure Active endocarditis Clinically significant coagulopathy (INR>2.0) Cyanotic and other complex congenital heart disease (regardless of age) Patients age eighteen or younger If you answered yes to any of the questions above you might not be a candidate for Midwest Cardiovascular Center MCC has found that at the Center there are some exceptions to the above exclusions. Other diagnostic considerations need to be taken into account when contemplating cardiac catheterization. A patient’s limited function or limited longevity caused by another illness might make such invasive procedures inappropriate in some clinical situations and we feel it is important for the Center physicians to include and document these extenuating factors in their pre-admission clinical appraisal.

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