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ECO report

My father aged 72 with no history of heart problems was asked for ECO by our cardiologist after complaint of chest burning sensation when doing extensive labor.He is 15 yrs diabitic and regulary takes sugar medicine and sugar is in control. Utrasound of lung, liver,kidney and even chest Xray is normal.However ECG report has changed.
ECO report IMpRESSION says :-
Concentric LVP with multi segmental RWMA.Diastolic as well as systolic dysfunction (dP/dt = 976 mm of Hg/s & 53 % LV EF )
I want to know how serious is the problem considering all factors mentioned above.Will the problem will be controlled by medicine or will have to go for surgery ? If surgery , how soon ?
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