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This trial found that computed tomography coronary angiography did not alter 1-year all-cause death or subsequent myocardial infarction, but it did increase length of hospital stay and health-care cost.

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Alasdair J Gray 1,2,*, Carl Roobottom 3, Jason E Smith 4, Steve Goodacre 5, Katherine Oatey 6, Rachel O’Brien 2, Robert F Storey 7, Nick Curzen 8, Liza Keating 9, Attila Kardos 10, Dirk Felmeden 11, Robert J Lee 6, Praveen Thokala 5, Steff C Lewis 6, David E Newby 12,13

1 Usher Institute, University of Edinburgh, Edinburgh, UK
2 Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK
3 Department of Radiology, University Hospitals Plymouth NHS Trust, Plymouth, UK
4 Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
5 School of Health and Related Research, University of Sheffield, Sheffield, UK
6 Edinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK
7 Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK
8 Faculty of Medicine, University of Southampton and Coronary Research Group, University Hospital Southampton NHS Foundation Trust, Southampton, UK
9 Department of Emergency Medicine, Royal Berkshire NHS Foundation Trust, Reading, UK
10 Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK
11 Department of Cardiology, Torbay and South Devon NHS Foundation Trust, Torquay, UK
12 Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
13 Department of Cardiology, Royal Infirmary of Edinburgh, Edinburgh, UK
* Corresponding author Email: alasdair.gray@ed.ac.uk

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