Heart attack prevention showdown: plaque scans vs. blood flow tests

NCT ID NCT07324720

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests two strategies for treating people with high-risk coronary artery disease. One strategy uses detailed imaging of plaque inside the arteries to decide which blockages need a stent or bypass. The other uses a standard blood flow test. About 1,944 participants will be randomly assigned to one of the two approaches. The goal is to see which strategy better prevents future heart problems like heart attacks or the need for repeat procedures.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

revascularization procedure (stenting or bypass) guided by either plaque imaging or blood flow testing

What this could lead to

If successful, this could show that using detailed plaque imaging to decide which blockages to treat is as good as or better than the current standard of blood flow testing.

What could go wrong

This is a large trial, but it compares two established approaches, so a dramatic breakthrough is unlikely. The results may not apply to all heart disease patients.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

coronary artery disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Seoul National University Hospital

    RECRUITING

    Seoul, Main Building, 03080, South Korea

    Contact Phone: •••-•••-•••• Email: •••••@•••••