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The evaluation of patients with suspected stable ischemic heart disease is among the most common diagnostic evaluations with nearly 20 million imaging and exercise stress tests performed annually in the United States. Over the past decade, there has been an evolution in imaging research with an ever-increasing focus on larger registries and randomized trials comparing the effectiveness of varying diagnostic algorithms. The current review highlights recent randomized trial evidence with a particular focus comparing the effectiveness of cardiac imaging procedures within the stable ischemic heart disease evaluation for coronary artery disease detection, angina, and other quality of life measures, and major clinical outcomes. Also highlighted are secondary analyses from these trials on the economic findings related to comparative cost differences across diagnostic testing strategies.

Original publication




Journal article


Jacc cardiovasc imaging

Publication Date





321 - 334


cardiac imaging, diagnostic testing, randomized trials, stable ischemic heart disease, Cardiac Imaging Techniques, Comparative Effectiveness Research, Cost-Benefit Analysis, Health Care Costs, Humans, Myocardial Ischemia, Predictive Value of Tests, Randomized Controlled Trials as Topic, Research Design, Treatment Outcome