In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Matthew Kelham from Bart's Hospital in London, UK. They discuss the difficulties in deciding the best strategy for patients who present with a non-ST elevation myocardial infarction who have had previous bypass grafting. Matt and colleagues used a survey of experts to gain consensus, then provided the experts with the results of a CTCA scan to assess whether the CTCA scan improved decision-making in this hard-to-manage group. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper:https://heart.bmj.com/content/early/2026/01/26/heartjnl-2025-326961