Did he have any chest pain or heart attack in the past, or is he diabetic?
To summarize the report, it says there is a decreased functioning of the heart, which most commonly occurs due to coronary artery disease or sometimes due to the weakening of the heart muscle.
So, he should get his evaluation done, ECG (electrocardiogram), lipid profile, sugars both fasting and post lunch, and angiography.
He should be on medicine to prevent further decline in the heart functions which includes Aspirin, Clopidogrel, statins like Atorvastatin, beta blockers like Metoprolol, ACE (angiotensin converting enzyme) inhibitor like Ramipril, and diuretics like Spironolactone, etc.
Hope this helps you and get back if you have any doubts.
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