he has global hypokinesia, pericardium
normal ,LALV dilated, LVEF 27.8% ,LALV clot absent. patient is dibetic since 35 years and he has pacemaker from last four years.he had his angiography 4 years back then he had been diagnosed as mild LAD disease and his ejection flow was 40% that time, but he had no treatment but from last three months when he started having dyspnoe he consulted an MD medicine who did his ECHO and found that he has LALV dilated, LVEF 27.