Cheap heart scan may replace costly stress tests for chest pain patients
NCT ID NCT03972774
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether starting with a low-cost coronary calcium scan (about $100) could safely avoid the need for a more expensive heart stress test (over $1,500) in people with chest pain. Researchers planned to enroll 48 adults aged 50 and older with suspected heart disease. The goal was to see if the cheaper approach could save money without increasing the risk of heart attacks or other major heart problems. The study was terminated early, so results are limited.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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48 people
The number who actually took part.
- Started
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Nov 2019
- Finished
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Sep 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Males or females ≥50 years old (i.e., to be of sufficiently high pre-test coronary risk) * Cardiac PET regadenoson stress perfusion test has been ordered to assess a possible ischemic etiology of low/intermediate risk chest pain or equivalent symptoms (e.g., exertional dyspnea). * Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of any study procedures * CAC score of ≥1 per routine CAC first strategy (described above) Exclusion Criteria: 1. Disease history: If available for any of the following diseases: prior known CAD, heart transplant, LVAD, untreated severe valve disease (i.e., severe mitral stenosis, severe mitral regurgitation, and/or severe aortic stenosis), or decompensated heart failure (DHF). 2. Those with a prior CAC score \>1. 3. CAC ≤1 prior to this current episode of cardiac assessment * Who ELECT to not receive an updated CAC evaluation OR their referring clinician specifically prefers cardiac PET. * CAC evaluation repeated at this current episode of cardiac assessment and is now \>1. 4. Evidence of possible acute coronary syndrome based on an elevated troponin I ≥0.04ng/mL and/or acute ECG changes of ischemia. 5. Life expectancy \<1 year, as assessed by the investigator(s) 6. Cardiac PET/CT is ordered in the pre-operative risk assessment in higher risk non-thoracic surgery. 7. Cardiac PET/CT is ordered for assessment of underlying ischemia in those with arrhythmia to guide anti-arrhythmic therapy. 8. Other conditions that in the opinion of the study investigators and/or referring clinician may increase risk to the subject and/or compromise the quality of the clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Intermountain Healthcare Hospitals and Clinics
Salt Lake City, Utah, 84107, United States
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Other studies related to the condition(s) this trial covers.
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