PubHawk
April 2015 PMID 25773919

Outcomes of anatomical versus functional testing for coronary artery disease.

Pamela S Douglas, Udo Hoffmann, Manesh R Patel, Daniel B Mark, Hussein R Al-Khalidi, Brendan Cavanaugh, Jason Cole, Rowena J Dolor, Christopher B Fordyce, Megan Huang, Muhammad Akram Khan, Andrzej S Kosinski, Mitchell W Krucoff, Vinay Malhotra, Michael H Picard

Download social card

Mentions

77
Peak: 4 in Nov 2019
across 5 sources since Oct 2019

Extended reach

49,298
potential audience

Total likes

21

Video views

75

Mentions per month

Oct 2019 – Nov 2025

Where it's discussed

  • Facebook26 posts
  • News24 articles
  • X / Twitter13 posts
  • Blogs12 articles
  • YouTube2 videos

AI synopsis

What people are saying

The posts reveal a shared understanding that the large trials, such as PROMISE, demonstrate no significant difference in outcomes between testing approaches, highlighted by phrases like 'no difference in outcomes' and 'more cardiac cath.' Discussions around future diagnostic utility and clinical decision-making, with expressions like 'could be useful' and 'future for functional imaging,' show a keen interest in applying the research, driven by the tone of curiosity and evaluation of current practices.

AgreementModerate agreement

Most discussions acknowledge and support the study's findings that outcomes are similar regardless of testing method, with some posts emphasizing the equivalence of results.

InterestHigh interest

The topics generate high interest, as evidenced by discussions about trial results, medical implications, and future directions, showing engagement with the research's significance.

EngagementModerate engagement

Posts reflect moderate engagement by referencing specific trials like PROMISE and PIONEER, and by contemplating future uses of the tests, indicating some depth in discussions.

ImpactModerate impact

While not universally transformative, many posts consider the clinical and diagnostic implications, suggesting a moderate perceived impact of the findings.

Abstract in brief

  • A large study comparing anatomical testing with coronary CT angiography (CTA) to functional testing methods found no significant difference in major clinical outcomes like death, myocardial infarction, or hospitalization over a median follow-up of 25 months.
  • CTA was associated with fewer unnecessary invasive catheterizations showing no obstructive coronary artery disease, but more patients underwent catheterization shortly after testing.
  • While CTA generally resulted in lower median radiation exposure per patient, the overall radiation exposure was higher compared to functional testing due to a higher percentage of patients receiving some radiation during CTA.
Read the full abstract

Top posts

Most liked on X and Bluesky
Juan Senior
@jsenior64 · X

Estas pruebas podrían ser útiles para diagnóstico en casos dudosos, tendiendo en cuenta que algunos estudios demuestran que un porcentaje pequeño se presenta con angina típica y la TAC sería una alternativa. https://t.co/yjnJQ3jR92

Nov 20, 2019 · 10 likes · 2 shares · 11,086 followers View post →
Sanjay Kaul
@kaulcsmc · X

@DrToddLee @ValleAlfonso @mvaduganathan @CardioRenalSEC @CardRenalForum @yulnunezvill @SantasEnrique @rdelaespriella @WilfriedMullens @SIAC_cardio @sccccardio @smexcardiologia https://t.co/koSPYAVwMz Sounds fair! PROMISE was designed as a superiority trial for 20%RRR, but they also prespecified a NI margin of 10%, which they didn’t meet as well.

Nov 5, 2022 · 3 likes · 3,385 followers View post →
Dr. Pedro A. Carrillo Moreno
@cardiodocpedro · X

Dec 17, 2021 · 2 likes · 1 share · 4,244 followers View post →
Sanjay Kaul
@kaulcsmc · X

@DrToddLee @KertViele @bordistef @drjohnm @WFMMD @bogdienache https://t.co/koSPYAVwMz https://t.co/ySt0261L0T

Aug 28, 2023 · 2 likes · 1 share · 3,385 followers View post →
Mohamed Eid
@Mohamedmagdieid · X

Outcomes of Anatomical versus Functional Testing for Coronary Artery Disease | NEJM https://t.co/gun9f65ELi No difference in outcomes but patients who had CCTA underwent more CAG

Nov 26, 2023 · 2 likes · 1,912 followers View post →
Shelley Wood (she/her)
@ShelleyWood2 · X

@venkmurthy Sharing these here, and shall leave for #CardioTwitter to decide if they are useful! From Newby: #1 PROMISE trial data (NEJM supplement; Figure S1C) https://t.co/k7SrVCQICs

Oct 16, 2019 · 1 like · 6,871 followers View post →

All mentions

Mohamed Eid
@Mohamedmagdieid · X

Outcomes of Anatomical versus Functional Testing for Coronary Artery Disease | NEJM https://t.co/gun9f65ELi No difference in outcomes but patients who had CCTA underwent more CAG

Nov 26, 2023 · 2 likes · 1,912 followers View post →
Nyein Chan Swe
@NCSweMD · X

CCTA compared to stress testing did not improve clinical outcomes in symptomatic pt with suspected CAD over 2 yrs of follow up in PROMISE (NEJM 2015). ✅CCTA > more cardiac cath and revascularization. ✅Stress testing > more negative cath. https://t.co/OZGrHtjECx https://t.co/Z0RGlQ9OIL

Nov 19, 2023 · 33 followers View post →
Joanna Z
@Joanna0918Z · X

RT @kaulcsmc: @DrToddLee @KertViele @bordistef @drjohnm @WFMMD @bogdienache https://t.co/koSPYAVwMz https://t.co/ySt0261L0T

Aug 30, 2023 · 1 share · 347 followers View post →
Sanjay Kaul
@kaulcsmc · X

@DrToddLee @KertViele @bordistef @drjohnm @WFMMD @bogdienache https://t.co/koSPYAVwMz https://t.co/ySt0261L0T

Aug 28, 2023 · 2 likes · 1 share · 3,385 followers View post →
Sanjay Kaul
@kaulcsmc · X

@DrToddLee @ValleAlfonso @mvaduganathan @CardioRenalSEC @CardRenalForum @yulnunezvill @SantasEnrique @rdelaespriella @WilfriedMullens @SIAC_cardio @sccccardio @smexcardiologia https://t.co/koSPYAVwMz Sounds fair! PROMISE was designed as a superiority trial for 20%RRR, but they also prespecified a NI margin of 10%, which they didn’t meet as well.

Nov 5, 2022 · 3 likes · 3,385 followers View post →
FerNando
@FerNandoSGG12 · X

RT @Atdonis:

Dec 17, 2021 · 1 share · 17 followers View post →
Dr. Pedro A. Carrillo Moreno
@cardiodocpedro · X

Dec 17, 2021 · 2 likes · 1 share · 4,244 followers View post →
Adam Gepner, MD
@AdamGepner · X

PROMISE: https://t.co/dtCZTQPmNx PLATO: https://t.co/apur6n0moX PIONEER: https://t.co/BVUpi9nRmI

Jun 15, 2021 · 358 followers View post →
CuyoNoticias
@CuyoNoticias · X

RT @jsenior64: Estas pruebas podrían ser útiles para diagnóstico en casos dudosos, tendiendo en cuenta que algunos estudios demuestran que…

Nov 20, 2019 · 2 shares · 15,884 followers View post →
Medicina Interna Uninorte
@InternaUninorte · X

RT @jsenior64: Estas pruebas podrían ser útiles para diagnóstico en casos dudosos, tendiendo en cuenta que algunos estudios demuestran que…

Nov 20, 2019 · 2 shares · 1,077 followers View post →
Juan Senior
@jsenior64 · X

Estas pruebas podrían ser útiles para diagnóstico en casos dudosos, tendiendo en cuenta que algunos estudios demuestran que un porcentaje pequeño se presenta con angina típica y la TAC sería una alternativa. https://t.co/yjnJQ3jR92

Nov 20, 2019 · 10 likes · 2 shares · 11,086 followers View post →
Tom Meredith
@cardiotommy · X

Interesting re-reading the PROMISE trial results in light of #ISCHEMIA What's the future for functional imaging?

Nov 19, 2019 · 604 followers View post →
Shelley Wood (she/her)
@ShelleyWood2 · X

@venkmurthy Sharing these here, and shall leave for #CardioTwitter to decide if they are useful! From Newby: #1 PROMISE trial data (NEJM supplement; Figure S1C) https://t.co/k7SrVCQICs

Oct 16, 2019 · 1 like · 6,871 followers View post →