My dad has an abnormal ECG?



 

Hi , my dad(age64) have done his echo today and i have pasted the finding also my dad has an abnormal ECG from childhood
Findings
1.coronary artery disease
2.mild mr,mild tr,mild ar
3.normal PA pressure and normal dimension
4.RWMA present
5.reduced LV systolic function and LVEF 45%
Pls advice what does the result signifies and the treatment





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