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The patient has hypertension diabetes deranged renal functions low ejection fraction and triple vessel disease with likely graftable vessels. This is a very good indication for coronary artery bypass surgery.
A good surgeon will be able to get good grafts to most of the vessels.
He also needs evaluation of his carotid arteries as he has history of recurrent strokes. A carotid doppler would identify carotid disease if present and that can be handled along with bypass surgery
Hope this helps
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