TABLE 1

PRECISE trial at a glance

Precision strategy (n = 1,057)Usual-testing strategy (n = 1,046)
InterventionRisk stratification using PROMISE minimal risk score: if score was > 0.46, then further testing was deferred unless patients had known vascular calcifications or atherosclerosis
Cardiac testing with CT angiography: if 30% to 90% stenosis was present, then CT fractional flow reserve was added
Physician-guided decision-making: options included deferred testing, stress testing, or cardiac catheterization
Patients who had cardiac testing, n (%)883 (83.5)a978 (93.5)a
Initial cardiac testing, %
CT angiography48< 1
CT angiography + CT fractional flow reserve31< 1
Cardiac catheterization< 110
Single-photon emission computed tomography-positron emission tomography232
Stress echocardiography230
Treadmill electrocardiography111
Stress cardiac magnetic resonance imaging< 110
No test167
Patients who had cardiac catheterization, n (%)135 (12.8)a177 (16.9)a
Patients with primary composite endpoint (death, nonfatal myocardial infarction, or cardiac catheterization without obstructive coronary artery disease), n (%)44 (4.2)a118 (11.3)a
Death or nonfatal myocardial infarction18 (1.7)12 (1.1)
Cardiac catheterization without obstructive coronary artery disease27 (2.6)a107 (10.2)a
Patients who had revascularization, n (%)97 (9.2)a54 (5.2)a
  • a Statistically significant difference.

  • CT = computed tomography; PRECISE = Prospective Randomized Trial of the Optimal Evaluation of Cardiac Symptoms and Revascularization; PROMISE = Prospective Multicenter Imaging Study for Evaluation of Chest Pain

  • Based on information from reference 7.