Ischaemic heart disease withregional wall motion abnormality present.moderate LV systolic dysfunction.LVEF=435mid mr LMCA=FREE OF DISEASE.LAD=TYPE 4 VESSEL65-70%STENOSIS IN ITS PROXIMAL SEGMENT.LCX=HAVING 80%STENOSIS IN ITS DISTAL SEGMENT.OM2 HAS GOT 80%STENOSIS IN ITS PROXIMAL SEGMENT.RCA=DOMINANT VESSEL AND 90-95% STENOSIS IN ITS MID SEGMENT,CORONARY ARTERY DISEASE (TVD).SO KINDLY IF YOU PLEASE GUIDE ME WHAT TO DO NOW IT WOULD BE VERY NICE OF YOU