We have decreased Cardiac cases by 20%. Luckily we are increasing our Vascular, EP and Neuro cases. I'm not sure if its the newer insurance program or just tougher guidlenes from CMS regarding the need for Diagnostic Caths. CMS sets the standard for all insurance, private and social so I think that's the driving force for he decreased amount if heart caths. I'd like to see some studies in the near future re: cade amounts of diagnostics vs. STEMIs