Table 8. High Risk Anatomical (for CACT) and Ischemic (for Functional Imaging) Features Suggestive of LMCA/LMCA-equivalent Disease.
| Modality | Findings suggestive of LMCA/LMCA-equivalent disease |
|---|---|
| CTCA | ≥50% obstruction of LMCA |
| Significant stenosis in proximal LAD and dominant LCx | |
| Significant stenosis in proximal LAD and dominant RCA | |
| SPECT | Inducible ischemic area >10% of left ventricular myocardium |
| Post-ischemic myocardial stunning/transient ischemic dilatation | |
| Stess CMR | Stress perfusion deficit (e.g., >4/32 LV segments) |
| Stress-induced dysfunctional motion (e.g., >3/16 LV segments) | |
| Stress echocardiography | Stress-induced hypokinesia/akinesia (e.g., ≥3/16 LV segments) |