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3% in (2014-17) (P = 0.1063). Stratified by age, the overall revascularization proportion increased in the younger age groups and was unchanged or decreased in older age groups 50 years 60% increase, 50-59 years 33% increase, 60-69 years 0%, and 70 years 9.5% decrease. The introduction of CCTA as a first-line diagnostic test in patients with suspected CCS does not associate with increased use of invasive angiography and seems to have facilitated a more appropriate revascularization practice. The introduction of CCTA as a first-l