Hello,
Thank you for your query at doctorspring.com

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
Feel free to ask followups.
Thank you