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Ejection Fraction Heart Failure Measurement
  • Updated:Fri, 25 Jun 2010 4:09:00 PM

The ejection fraction (EF) is an important measurement in determining how well your heart is pumping out blood and in diagnosing and tracking heart failure.

Learn more:
What it is:
A measurement of how much blood the left ventricle pumps out with each contraction
What it means:
An ejection fraction of 60 percent means that 60 percent of the total amount of blood in the left ventricle is pushed out with each heartbeat.
What's normal:
  • A normal heart's ejection fraction may be between 55 and 70.
  • You can have a normal ejection fraction reading and still have heart failure. If the heart muscle has become so thick and stiff that the ventricle holds a smaller-than-usual volume of blood, it might still seem to pump out a normal percentage of the blood that enters it. In reality, though, the total amount of blood pumped isn't enough to meet your body's needs.
What's too low:
  • A measurement under 40 may be evidence of heart failure or cardiomyopathy.
  • An EF between 40 and 55 indicates damage, perhaps from a previous heart attack, but it may not indicate heart failure.
  • In severe cases, EF can be very low.
What's too high:
EF higher than 75 percent could indicate a heart condition like hypertrophic cardiomyopathy.
Tests for measuring EF:
  • Echocardiogram
  • MUGA scan
  • CAT scan
  • Cardiac catheterization
  • Nuclear stress test

Learn more about common tests for diagnosing heart failure

See an illustration of the ejection fraction


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