RCT: In patients with stable chest pain with intermediate pretest probability of obstructive coronary artery disease, an initial diagnostic imaging strategy based on CT angiography resulted in similar risks of major adverse cardiovascular events compared to invasive coronary angiography.

CT or Invasive Coronary Angiography in Stable Chest Pain – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: DISCHARGE Hailed as a Big Step Forward for CTA in Stable Chest Pain – TCTMD

Commentary on Twitter

Among patients referred for invasive coronary angiography because of stable chest pain and intermediate pretest probability of CAD, the risk of major adverse CV events was similar in the CT group and the ICA group. #ECR22 https://t.co/KnuQo0juxE pic.twitter.com/Sf70dqfgKP

— NEJM (@NEJM) March 4, 2022