Evidence map›Paper›PMID 33283579›Full record

Trial reportJournal of the American Heart Association2020

Coronary Computed Tomography Angiography Compared With Single Photon Emission Computed Tomography Myocardial Perfusion Imaging as a Guide to Optimal Medical Therapy in Patients Presenting With Stable Angina: The RESCUE Trial.

Arthur E Stillman, Constantine Gatsonis, Joao A C Lima, Tao Liu, Bradley S Snyder, Jean Cormack, Vinay Malholtra, Mitchell D Schnall, James E Udelson, Udo Hoffmann and 2 more

Open access · goldAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Coronary computed tomography angiographyWorld journal of cardiology · 2025
    Article
  4. Combined strategy of upfront CTCA and optimal treatment for stable chest pain: rationale and design of the CLEAR-CAD trial.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024
    Article
  5. Three Technologies That Will Guide Revascularization of Chronic Coronary Syndrome Patients into the 21st Century: A Review.The International journal of angiology : official publication of the International College of Angiology, Inc · 2021
    Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Arthur E StillmanDepartment of Radiology and Imaging Sciences Emory University Atlanta GA.
Constantine GatsonisDepartment of Biostatistics Brown University School of Public Health Providence RI.
Joao A C LimaDepartments of Medicine and Radiology Johns Hopkins University Baltimore MD.
Tao LiuDepartment of Biostatistics Brown University School of Public Health Providence RI.
Bradley S SnyderCenter for Statistical Sciences Brown University School of Public Health Providence RI.
Jean CormackCenter for Statistical Sciences Brown University School of Public Health Providence RI.
Vinay MalholtraPulse Heart Institute Tacoma WA.
Mitchell D SchnallDepartment of Radiology University of Pennsylvania Boston MA.
James E UdelsonDivision of Cardiology Tufts-New England Medical Center Boston MA.
Udo HoffmannDepartment of Radiology Massachusetts General Hospital Boston MA.
Pamela K WoodardMallinckrodt Institute of Radiology Washington University School of Medicine St. Louis MO.
RESCUE investigators *
Mallinckrodt (United States) · USTufts Medical Center · USBrown University · USMassachusetts General Hospital · USBoston University · USEmory University · USJohns Hopkins University · USUniversity of Pennsylvania · US

Funding

RESCUE: Randomized Evaluation of Patients with Stable Angina Comparing UtilizatioR01HS019403 · AHRQ · AMERICAN COLLEGE OF RADIOLOGY · PI STILLMAN, ARTHUR E · 2010 to 2010
$9.7M
AHRQ HHS R01 HS019403
6 · The paper itself

Abstract

Background The RESCUE (Randomized Evaluation of Patients with Stable Angina Comparing Utilization of Noninvasive Examinations) trial was a randomized, controlled, multicenter, comparative efficacy outcomes trial designed to assess whether initial testing with coronary computed tomographic angiography (CCTA) is noninferior to single photon emission computed tomography (SPECT) myocardial perfusion imaging in directing patients with stable angina to optimal medical therapy alone or optimal medical therapy with revascularization. Methods and Results The end point was first major adverse cardiovascular event (MACE) (cardiac death or myocardial infarction), or revascularization. Noninferiority margin for CCTA was set a priori as a hazard ratio (HR) of 1.3 (95% CI=0, 1.605). One thousand fifty participants from 44 sites were randomized to CCTA (n=518) or SPECT (n=532). Mean follow-up time was 16.2 (SD 7.9) months. There were no cardiac-related deaths. In patients with a negative CCTA there was 1 acute myocardial infarction; in patients with a negative SPECT examination there were 2 acute myocardial infarctions; and for positive CCTA and SPECT, 1 acute myocardial infarction each. Participants in the CCTA arm had a similar rate of MACE or revascularization compared with those in the SPECT myocardial perfusion imaging arm, (HR, 1.03; 95% CI=0.61-1.75) (

Indexed as

AdultAngina, StableCardiovascular DiseasesComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseDeathFemaleHumansMaleMiddle AgedMyocardial InfarctionMyocardial Perfusion ImagingPercutaneous Coronary InterventionTomography, Emission-Computed, Single-Photonanginacardiovascular imagingcoronary computed tomography angiographycoronary revascularizationischemianuclear medicine

Identifiers

PMID33283579
PMCPMC7955393
OpenAlexW3113049144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.