September 2018 PMID 30145934

Coronary CT Angiography and 5-Year Risk of Myocardial Infarction.

Mentions

114
Peak: 5 in Jul 2022
across 6 sources since Sep 2018

Extended reach

375,360
potential audience

Total likes

103

Video views

969

Mentions per month

Sep 2018 – Aug 2025

Where it's discussed

  • X / Twitter43 posts
  • News36 articles
  • Facebook15 posts
  • Blogs14 articles
  • YouTube4 videos
  • Reddit2 posts

AI synopsis

What people are saying

The overall discussions express strong approval and fascination with the study's findings, as seen in phrases like 'CTA first saves lives,' and references to significant trials like SCOT-HEART. Words like 'significantly lower' and 'game changer' convey enthusiasm, while detailed mentions of the trial design and long-term benefits show a deep interest and perceived impact of the research on clinical decision-making.

AgreementModerate agreement

Most discussions support the article's findings, with many posts emphasizing the benefits of coronary CT angiography (CTA) for reducing long-term cardiovascular events, suggesting a consensus on its positive impact.

InterestHigh interest

The posts demonstrate high curiosity, referencing studies like SCOT-HEART and comparing CTA to other diagnostic methods, showing researchers and clinicians are highly engaged with the topic.

EngagementModerate engagement

Several posts delve into detailed aspects such as the trial results, methodologies, and implications for clinical practice, indicating deep involvement with the research.

ImpactModerate impact

Posts highlight the potential for CTA to influence patient management strategies and improve outcomes over five years, reflecting a belief that this research could shape future guidelines and practices.

Abstract in brief

  • A multicenter trial involving 4146 patients with stable chest pain found that adding coronary CT angiography (CTA) to standard care reduced the 5-year risk of death from coronary heart disease or nonfatal myocardial infarction, with the CTA group showing a lower event rate (23.48%) compared to the standard care group (39.81%).
  • Although initially more invasive procedures were performed in the CTA group, overall rates of invasive coronary angiography and revascularization at 5 years were similar between groups, but the CTA group received more preventive and antianginal therapies, which may contribute to better outcomes.
  • The study concluded that incorporating CTA into standard care improved 5-year cardiovascular outcomes without increasing the rates of death from any cause, suggesting that CTA can be a valuable tool in managing patients with stable chest pain.

Top posts

Most liked on X and Bluesky
Evandro Martins F. MD
@evandrofilhobr · X

SCOT-HEART feelings

Jan 6, 2020 · 9 likes · 1 share · 19,833 followers View post →
Colin Berry
@ColinBerryMD · X

@CoronaryDoc @purviparwani @GreggWStone @Drroxmehran @mmamas1973 @rallamee @RonBlankstein @DavidLBrownMD @DrMarthaGulati @AChoiHeart @ToddVillinesMD @DrRyanPDaly @lesleejshaw @onco_cardiology @MBittencourtMD @ErinMichos Measure coronary outcomes with a coronary intervention = scene set for positive result, but unmeasured outcomes may be equally important. 5yr mortality was no different with CTCA strategy in SCOTHEART https://t.co/PD2Pl3aPGX https://t.co/5Be91kilwZ

Jul 18, 2020 · 9 likes · 3 shares · 1,645 followers View post →
MIЯVΛƬ #IC ༄ 。°
@mirvatalasnag · X

6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early detection/prevention #SCOTHEART https://t.co/u25PsmjYUG @NEJM #SCCT2022 https://t.co/ucfoJmARUC

Jul 17, 2022 · 8 likes · 5 shares · 26,083 followers View post →
Prof. Hector M. Garcia-Garcia
@hect2701 · X

#CTAfirst saves lives? Yes, please check this report out…. https://t.co/4kYoaYutPI Do you wait to “embrace” a new approach until the evidence is created ? Or would you rather embrace your community and create the evidence together? @sbrugaletta @Ortega_Paz @TCTMD @CRT_meeting https://t.co/hXyK17bQDz

Aug 5, 2025 · 8 likes · 3 shares · 4,520 followers View post →
Juan Lopez-Mattei, MD
@onco_cardiology · X

@Cardiotweets83 @Cardio_ciencias @VazyurVasquez @wikimagen @ecardioimage @iamritu @purviparwani @VLSorrellImages @JGrapsa @jpcostabel @josejgdnews @carlos_sierra @hatemsoliman SCOT Heart https://t.co/pCiYnLi9GM

Mar 5, 2021 · 6 likes · 11,599 followers View post →
Mickaël OHANA
@macromik · X

@FZores Pour le coroscanner oui, c'est l'étude SCOT HEART Prospective, compare stratégie "CT first" VS "standard of care" (principalement épreuve d'effort et scinti) dans la suspicion de coronaropathie stable. Le groupe scanner avait moins de MACE à 5 ans ! https://t.co/SwIFzQ7ZFf

Dec 15, 2020 · 5 likes · 6,914 followers View post →

All mentions

Minneapolis Heart Institute Foundation
@MHIF_Heart · X

RT @hect2701: #CTAfirst saves lives? Yes, please check this report out…. https://t.co/4kYoaYutPI Do you wait to “embrace” a new approach…

Aug 11, 2025 · 3 shares · 3,037 followers View post →
Luis Ortega Paz
@Ortega_Paz · X

RT @hect2701: #CTAfirst saves lives? Yes, please check this report out…. https://t.co/4kYoaYutPI Do you wait to “embrace” a new approach…

Aug 5, 2025 · 3 shares · 3,931 followers View post →
Yader Sandoval
@yadersandoval · X

RT @hect2701: #CTAfirst saves lives? Yes, please check this report out…. https://t.co/4kYoaYutPI Do you wait to “embrace” a new approach…

Aug 5, 2025 · 3 shares · 4,608 followers View post →
Prof. Hector M. Garcia-Garcia
@hect2701 · X

#CTAfirst saves lives? Yes, please check this report out…. https://t.co/4kYoaYutPI Do you wait to “embrace” a new approach until the evidence is created ? Or would you rather embrace your community and create the evidence together? @sbrugaletta @Ortega_Paz @TCTMD @CRT_meeting https://t.co/hXyK17bQDz

Aug 5, 2025 · 8 likes · 3 shares · 4,520 followers View post →
Mickaël OHANA
@macromik · X

L'étude SCOT-HEART 1, publiée en 2018 et 2025, montre cependant que chez les patients SYMPTOMATIQUES, ceux diagnostiqués par coroscanner mourraient moins et avaient moins d'infarctus que les autres. Je l'explique dans la vidéo. https://t.co/SwIFzQ7ZFf

Feb 7, 2025 · 3 likes · 6,914 followers View post →
Abdallah Al-Mohammad
@AAlMohammad87 · X

Attended the first presentation of #SCOT_HEART and still enjoy reviewing the elegant paper @NEJM 6 yrs later #David_Newby #CardioTwitter @Steph_Achenbach @AndyJSwift @smrabd @BcsPresident @RCPEdin @SheffieldHosp @ShefUni_ClinMed https://t.co/rLGKeZnCWp

Sep 15, 2024 · 1 like · 930 followers View post →
Linda
@wordfinga · X

RT @mirvatalasnag: 6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early d…

Jul 18, 2022 · 5 shares · 4,595 followers View post →
Vasvi Singh
@SinghVasvi · X

RT @mirvatalasnag: 6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early d…

Jul 17, 2022 · 5 shares · 2,839 followers View post →
Alexandra Frogoudaki
@AlexFrogoudaki · X

RT @mirvatalasnag: 6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early d…

Jul 17, 2022 · 5 shares · 2,327 followers View post →
Ekaterini Lambrinou
@EkateriniL · X

RT @mirvatalasnag: 6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early d…

Jul 17, 2022 · 5 shares · 3,386 followers View post →
MIЯVΛƬ #IC ༄ 。°
@mirvatalasnag · X

6.#CACS how it compares to current functional testing & it’s NPV.. CON-beyond calcium: % stenosis, consistency & early detection/prevention #SCOTHEART https://t.co/u25PsmjYUG @NEJM #SCCT2022 https://t.co/ucfoJmARUC

Jul 17, 2022 · 8 likes · 5 shares · 26,083 followers View post →
Dr. Luiz Silva
@DrLuizSilva1 · X

RT @Gurleen_Kaur96: 6/ SCOT HEART study – CCTA had reduction in CHD/MI compared to ETT https://t.co/6D01EuOHLX Risk assessment by CT – not…

Jul 24, 2021 · 2 shares · 391 followers View post →
ASPC
@ASPCardio · X

RT @Gurleen_Kaur96: 6/ SCOT HEART study – CCTA had reduction in CHD/MI compared to ETT https://t.co/6D01EuOHLX Risk assessment by CT – not…

Jul 24, 2021 · 2 shares · 7,749 followers View post →
Gurleen Kaur, MD
@Gurleen_Kaur96 · X

6/ SCOT HEART study – CCTA had reduction in CHD/MI compared to ETT https://t.co/6D01EuOHLX Risk assessment by CT – not just for statins In future, can guide PCSK9, BP control, antiplatelet, lifestyle changes, amongst others #ASPC2021 https://t.co/hdxyCDQYQi

Jul 24, 2021 · 3 likes · 2 shares · 4,615 followers View post →
Juan Lopez-Mattei, MD
@onco_cardiology · X

@Cardiotweets83 @Cardio_ciencias @VazyurVasquez @wikimagen @ecardioimage @iamritu @purviparwani @VLSorrellImages @JGrapsa @jpcostabel @josejgdnews @carlos_sierra @hatemsoliman SCOT Heart https://t.co/pCiYnLi9GM

Mar 5, 2021 · 6 likes · 11,599 followers View post →
José Miguel Torres Viera
@torresviera · X

RT @hect2701: @edurontoFF @omendiz @secardiologia @lamelaspablo @Ortega_Paz @jpcostabel @jgranadacrf @gonzaeperez @Juan_Terre @torresviera…

Jan 30, 2021 · 1 share · 6,090 followers View post →
Prof. Hector M. Garcia-Garcia
@hect2701 · X

@edurontoFF @omendiz @secardiologia @lamelaspablo @Ortega_Paz @jpcostabel @jgranadacrf @gonzaeperez @Juan_Terre @torresviera Concuerdo con el hecho que se hará más TAC y menos estudios funcionales. Además el uso de TAC reduce mortalidad a 5 años https://t.co/4kYoaYutPI

Jan 30, 2021 · 4 likes · 1 share · 4,520 followers View post →
Mickaël OHANA
@macromik · X

@FZores Pour le coroscanner oui, c'est l'étude SCOT HEART Prospective, compare stratégie "CT first" VS "standard of care" (principalement épreuve d'effort et scinti) dans la suspicion de coronaropathie stable. Le groupe scanner avait moins de MACE à 5 ans ! https://t.co/SwIFzQ7ZFf

Dec 15, 2020 · 5 likes · 6,914 followers View post →
815wrldtrvlr
@815wrldtrvlr · X

Coronary CT Angiography and 5-Year Risk of Myocardial Infarction - Cardiology https://t.co/t6Nl43FeBX

Sep 18, 2020 · 36,618 followers View post →
Mickaël OHANA
@macromik · X

... prise en charge. C'est ce qu'a montré l'étude SCOT-HEART, avec un taux de MACE significativement abaissé dans le groupe screené par coroscanner VS tests fonctionnels. https://t.co/SwIFzQ7ZFf

Aug 5, 2020 · 6,914 followers View post →
Oktay Gülcü ,MD
@glckty · X

RT @ColinBerryMD: @CoronaryDoc @purviparwani @GreggWStone @Drroxmehran @mmamas1973 @rallamee @RonBlankstein @DavidLBrownMD @DrMarthaGulati…

Jul 18, 2020 · 3 shares · 14,626 followers View post →
Juan Lopez-Mattei, MD
@onco_cardiology · X

RT @ColinBerryMD: @CoronaryDoc @purviparwani @GreggWStone @Drroxmehran @mmamas1973 @rallamee @RonBlankstein @DavidLBrownMD @DrMarthaGulati…

Jul 18, 2020 · 3 shares · 11,599 followers View post →
CNCFCardio
@CNCFCardio · X

RT @ColinBerryMD: @CoronaryDoc @purviparwani @GreggWStone @Drroxmehran @mmamas1973 @rallamee @RonBlankstein @DavidLBrownMD @DrMarthaGulati…

Jul 18, 2020 · 3 shares · 5,284 followers View post →
Colin Berry
@ColinBerryMD · X

@CoronaryDoc @purviparwani @GreggWStone @Drroxmehran @mmamas1973 @rallamee @RonBlankstein @DavidLBrownMD @DrMarthaGulati @AChoiHeart @ToddVillinesMD @DrRyanPDaly @lesleejshaw @onco_cardiology @MBittencourtMD @ErinMichos Measure coronary outcomes with a coronary intervention = scene set for positive result, but unmeasured outcomes may be equally important. 5yr mortality was no different with CTCA strategy in SCOTHEART https://t.co/PD2Pl3aPGX https://t.co/5Be91kilwZ

Jul 18, 2020 · 9 likes · 3 shares · 1,645 followers View post →
SERVICIO DE RADIOLOGÍA HOSPITAL MORALES MESEGUER
@serammeA6SALUD · X

Añadir la coronario-TC al proceso clínico del dolor torácico estable, disminuye la ratio de infarto de miocardio y de muerte coronaria a los 5 años. #RadiologíaPensandoEnTi Coronary CT Angiography and 5-Year Risk of Myocardial Infarction | NEJM https://t.co/GTZg6i1Vbk

Jun 17, 2020 · 4 likes · 1,911 followers View post →
BU/BMC IM Residency
@BMCimRES · X

Though not seen in shorter studies, the 5-year follow-up from the SCOT-HEART trial showed a decrease in deaths from coronary heart disease or non fatal MIs without increase in procedural interventions! https://t.co/F2rW9HQAC9

May 1, 2020 · 3,247 followers View post →
Drtwitt
@Drtwitt02 · X

RT @evandrofilhobr: SCOT-HEART feelings

Jan 6, 2020 · 1 share · 1,880 followers View post →
Evandro Martins F. MD
@evandrofilhobr · X

SCOT-HEART feelings

Jan 6, 2020 · 9 likes · 1 share · 19,833 followers View post →
Taku Asano
@ta_brilliantsea · X

Coronary CT Angiography and 5-Year Risk of Myocardial Infarction | NEJM https://t.co/KB92m2iJrw

Dec 29, 2019 · 26 followers View post →
Less-Is-More Cardiologist
@DavidLBrownMD · X

@djc795 @venkmurthy @DhirajGuptaBHRS @AlexNowbar @deb_cohen @BBCNewsnight @bmj_latest @NEJM But you're not suggesting that if the results were presented honestly and transparently, NEJM would have objected? I'm reminded of this paper https://t.co/aoHsqVq9Hs MI was not the primary outcome but made it into the title.

Dec 10, 2019 · 3 likes · 22,149 followers View post →
Boback Ziaeian
@boback · X

@djc795 @bogdienache @DavidLBrownMD @venkmurthy @MarcDweck @drjohnm @segfaultman @CardiologyCoder @nz_philip @imagingmedsci It’s here: https://t.co/avwEeVkJlL

Sep 15, 2019 · 3 likes · 3,360 followers View post →
Bogdan Enache
@bogdienache · X

@djc795 @DavidLBrownMD @venkmurthy @MarcDweck @drjohnm @segfaultman @CardiologyCoder @nz_philip @imagingmedsci Not a prank. Protocol is on NEJM website. https://t.co/NUAhiJgKMl This is on page 109/114 in PDF file. https://t.co/lOFrPb2Kos

Sep 15, 2019 · 3 likes · 2,779 followers View post →
Less-Is-More Cardiologist
@DavidLBrownMD · X

@djc795 @venkmurthy @bogdienache @MarcDweck @drjohnm @segfaultman @CardiologyCoder @nz_philip @imagingmedsci And of course @NEJM bought right into it by making the MI result the title of the paper: "Coronary CT Angiography and 5-Year Risk of Myocardial Infarction." Too bad the reviewers are anonymous.

Sep 15, 2019 · 3 likes · 22,149 followers View post →
Anton
@ritmodelcuore · X

Great article: Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. https://t.co/nrG9lRZ4WJ #ReadByQxMD

Aug 8, 2019 · 1 like · 72 followers View post →
Joel "Heart Prevention" Kahn MD, FACC
@drjkahn · X

Test Not Guess Coronary CT Angiography and 5-Year Risk of Myocardial Infarction | NEJM https://t.co/MOlCg6vvOc

Jul 24, 2019 · 1 like · 32,277 followers View post →
EuroIntervention
@EuroInterventio · X

RT @mirvatalasnag: @twj1974 @Ortega_Paz @EuroInterventio @PCRonline @escardio @RaberLorenz #EIJCardioChat Some imagers may disagree CONFI…

Jul 10, 2019 · 1 share · 34,448 followers View post →
MIЯVΛƬ #IC ༄ 。°
@mirvatalasnag · X

@twj1974 @Ortega_Paz @EuroInterventio @PCRonline @escardio @RaberLorenz #EIJCardioChat Some imagers may disagree CONFIRM & SCOT-HEART generated outcome data https://t.co/u25Psm2o38 https://t.co/bXORX9bcfP

Jul 10, 2019 · 2 likes · 1 share · 26,083 followers View post →
中島敏雄@内科医
@nakajimatoshio_ · X

安定狭心症、落ち着いているので精査なくそのままフォローとなっていることありますが、時々はCTA(CT冠動脈造影)やはり必要かな。 N Engl J Med. 2018 Sep 6;379(10):924-933 Coronary CT Angiography and 5-Year Risk of Myocardial Infarction.

Feb 28, 2019 · 1,860 followers View post →
Innovation Health Services
@IHSCardiac · X

SCOT-HEART study 2018: CTA+standard care = "significantly lower rate of death from coronary heart disease or nonfatal MI at 5 years than standard care alone". Ask us how at #CVSummit this week. Full article @NEJM : https://t.co/Sq1clFbbyb

Feb 12, 2019 · 86 followers View post →
Athanasios Saratzis
@a_saratzis · X

5) Asking for a CT coronary angiogram may be a good idea if one suspect's coronary disease. https://t.co/N0C1WVCPwC

Jan 11, 2019 · 1 like · 1 share · 4,070 followers View post →
KristopherMaday PA-C
@PA_Maday · X

SCOT-HEART Trial Coronary CT Angiography and 5-Year Risk of Myocardial Infarction https://t.co/EPU8JTSL7e

Jan 10, 2019 · 2,457 followers View post →
Mohammed Saad AlQasab محمد القصب
@DrMsk1988 · X

RT @Heart_SCCT: #SCOTHEART “definitively demonstrated” use of CCTA in addition to standard care to result in an important reduction in coro…

Jan 9, 2019 · 1 share · 401 followers View post →
Heart_SCCT
@Heart_SCCT · X

#SCOTHEART “definitively demonstrated” use of CCTA in addition to standard care to result in an important reduction in coronary heart disease death or non-fatal myocardial infarction @journalCCT Drs @Nz_Phil & Newby https://t.co/nQtflfbscJ https://t.co/HSmvVRx2FK

Jan 9, 2019 · 1 share · 13,442 followers View post →