ABC | Volume 112, Nº1, January 2019

Viewpoint Gottlieb et al CCTA takes the center stage and here is why Arq Bras Cardiol. 2019; 112(1):104-106 1. Li M, Du XM, Jin ZT, Peng ZH, Ding J, Li L. The diagnostic performance of coronary artery angiography with 64-MSCT and post 64-MSCT: systematic review and meta-analysis. PloS one 2014;9:e84937. 2. Stocker TJ, Deseive S, Leipsic J, Hadamitzky M, Chen MY, Rubinshtein R, et al. Reduction in radiation exposure in cardiovascular computed tomography imaging: results from the Prospective Multicenter Registry on RadiaTion Dose Estimates of Cardiac CT Angiography IN Daily Practice in 2017 (PROTECTION VI). Eur Heart J. 2018;39(4):3715-23. 3. Agus AM, McKavanagh P, Lusk L, Verghis RM, Walls GM, Ball PA, et al. The cost-effectiveness of cardiac computed tomography for patients with stable chest pain. Heart . 2016;102(5):356-62. 4. HoffmannU, TruongQA, SchoenfeldDA, Chou ET,Woodard PK, Nagurney JT, et al. Investigators R-I. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012;367(4):299-308. 5. Bittencourt MS, Hulten EA, Murthy VL, Cheezum M, Rochitte CE, Di Carli MF, et al. Clinical Outcomes After Evaluation of Stable Chest Pain by Coronary Computed Tomographic Angiography Versus Usual Care: AMeta- Analysis. Circ Cardiovasc Imaging. 2016;9(4):e004419. 6. Douglas PS, HoffmannU, Patel MR, Mark DB, Al-Khalidi HR, Cavanaugh B, et al. Outcomes of Anatomical versus Functional Testing for Coronary Artery Disease. N Engl J Med. 2015;372(19):1291-300. 7. Goldstein JA, Chinnaiyan KM, Abidov A, Achenbach S, Berman DS, Hayes SW, et al. Investigators C-S. TheCT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) trial. J Am Coll Cardiol. 2011;58(14):1414-22. 8. HoffmannU, TruongQA, SchoenfeldDA, Chou ET,Woodard PK, Nagurney JT, et al. Coronary CTAngiography versus Standard Evaluation inAcuteChest Pain. N Engl J Med .2012;367(4):299-308. 9. InvestigatorsS-H.CTcoronaryangiography inpatientswithsuspectedangina due to coronary heart disease (SCOT-HEART): an open-label, parallel-group, multicentre trial. Lancet. 2015;385(9985):2383-91. 10. Fordyce CB, NewbyDE, Douglas PS. Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications FromSCOT-HEART and PROMISE. J Am Coll Cardiol. 2016;67(7):843-52. 11. Jørgensen ME, Andersson C, Nørgaard BL, Abdulla J, Shreibati JB, Torp- Pedersen C, et al. Functional Testing or Coronary Computed Tomography Angiography in Patients With Stable Coronary Artery Disease. J Am Coll Cardiol. 2017;69(14):1761-70. 12. Forbes J, Hunter A, Lewis S, MacLean S, Mills NL, Norrie J, et al. Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. N Engl J Med. 2018;379(10):924-33. 13. Moss AJ,WilliamsMC, NewbyDE, Nicol ED. TheUpdatedNICEGuidelines: Cardiac CT as the First-Line Test for Coronary ArteryDisease. Curr Cardiovasc Imaging Rep. 2017;10(5):15. 14. Genders TS, Petersen SE, Pugliese F, et al. The optimal imaging strategy for patients with stable chest pain: A cost-effectiveness analysis. Ann InternMed. 2015;162(7):474-84. References This is an open-access article distributed under the terms of the Creative Commons Attribution License need to embrace these changes and to challenge ourselves whether there is any rationale not to consider CCTA as a first line strategy for the investigation of individuals with suspected obstructive CAD. Author contributions Conception and design of the research, acquisition of data, analysis and interpretation of the data, statistical analysis, obtaining funding, writing of the manuscript and critical revision of the manuscript for intellectual contente: Gottlieb I, Bittencourt MS, Rochitte CE, Cavalcante JL. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associatedwith any thesis or dissertationwork. 106