To the Editor We read with great interest the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE) trial substudy by Lowenstern et al,1 enlightening the age-related differences in the noninvasive evaluation for possible coronary artery disease (CAD). We congratulate the authors for this report; however, we would appreciate another presentation of the study results by factoring in the revascularization procedures that certainly modified patient’s risk for future cardiovascular death/myocardial infarction (MI) and by including more details of coronary computed tomography angiography (CTA) data rather than oversimplifying it to positive or negative findings.