47 year-old male NIDDM with new onset CCS Class II angina and high risk stress SPECT-MPI for large inferior, inferoseptal and inferolateral ischemia and EF of 53%. A Cardiac Cath on February 17, 2015 revealed II Vessel CAD; multiple lesions in RCA including 90% bifurcation lesion of distal RCA (Medina 1,0,1), 90% moderately calcified LCx OM1 with LVEF 60% and SYNTAX Score of 12. Patient underwent successful intervention of LCx-OM1 (Promus PREMIER DES). Patient is now planned for staged PCI of RCA for persistent Class II symptoms on MMT and complete revascularization.