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Comment & Response
September 9, 2020

Should We Simplify Computed Tomography Angiography Reporting as Black or White vs Describing All Shades of Gray?

Author Affiliations
  • 1Division of Interventional Cardiology, MedStar Cardiovascular Research Network, MedStar Washington Hospital Center, Washington, DC
  • 2Cardiology Department, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
  • 3Cardiovascular Center, Hospital da Luz, Lisbon, Portugal
  • 4Chronic Diseases Research Center, Chronic Diseases Research Center, Faculdade de Ciencias Medicas, Nova Medical School, Lisbon, Portugal
JAMA Cardiol. 2020;5(12):1449-1450. doi:10.1001/jamacardio.2020.3679

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.

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