Similar costs for CTA and functional testing may advance CTA in future guidelines

Daniel Mark, MD, MPH – Duke University, North Carolina

In the PROMISE trial, functional cardiac testing, predominantly nuclear stress testing, was compared to coronary CT angiography in stable patients with chest pain but not at high risk. Before the trial, Dr. Daniel Mark explained, there was “a lot of controversy” about whether visualizing the coronary arteries with CT would lower the cost of care or raise it because of additional testing to follow up on the CT results.

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