Objective To investigate the consistency of Revolution CT with coronary angiography (CAG) in the assessment of coronary artery stenosis. Methods 262 patients with CHD admitted to the Chongqing There Gorges Central Hospital from August 2016 to August 2018 were enrolled. All patients underwent CAG and Revolution CT. With CAG as the gold standard, the degree of coronary artery stenosis was 50% and 75%. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of Revolution CT were evaluated from two aspects: coronary artery and coronary vascular segment. Results Based on the coronary artery stenosis degree of 50% and 75%. From the perspective of coronary arteries, the Kappa values of Revolution CT and CAG were 0.851 and 0.885 (P＜0.05). The sensitivity of Revolution CT diagnosis was 92.59% and 92.91%. The specificity of Revolution CT diagnosis were 92.53% and 95.56%. The accuracy of Revolution CT diagnosis were 92.56% and 94.27%. The positive predictive value of Revolution CT diagnosis were 93.26% and 95.16%. The negative predictive value of Revolution CT diagnosis were 91.78% and 93.48%. From the perspective of coronary artery segment, the Kappa values of Revolution CT and CAG were 0.828 and 0.826 (P＜0.05), the sensitivity of Revolution CT diagnosis was 93.47%, 96.88%, the specificity was 93.97%, 8721%, the accuracy was 93.59%, 9539%, the positive predictive value was 98.13%, 97.67%, and the negative predictive value was 80.96% and 83.47%. Conclusion Revolution CT can accurately diagnose different degrees of coronary artery stenosis, and has good consistency with CAG diagnosis. However, Revolution CT diagnosis may have false positive results, so it is still not completely replace CAG test in clinical practice.