Over the past 2 decades there has been an exponential increase in the
use of all cardiovascular diagnostic and therapeutic procedures, especially
coronary angiography. Indeed, heart catheterization is now the most frequently
performed in-hospital operative procedure in patients older than 65 years.1 Researchers estimate that during 1995 more than 1.6
million patients underwent heart catheterization in the United States and
that by 2010, upward of 3 million cardiac catheterizations will be performed
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