Ejection Fraction Heart Failure Measurement

Ejection Fraction Heart Failure Measurement | Best Cardiologist in Bhopal

What is “ejection fraction”?

Ejection fraction (EF) is an amount, expressed as a percentage, of how much blood the left ventricle pumps out with each contraction. 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?

  • You can have a normal ejection fraction measurement and still have heart failure.
  • A normal heart’s ejection fraction may be between 50 and 70 percent.
  • If the heart muscle has become so thick and stiff that the ventricle holds a less important than usual volume of blood, it might still seem to pump out a normal percentage of the blood that enters it.

What’s too low?

  • In severe cases, ejection fraction can be very low.
  • An ejection fraction measurement under 40 percent may be evidence of heart failure or cardiomyopathy.
  • An EF from 41 to 49 percent may be considered “borderline.” It does not always indicate that a person is developing heart failure. Instead, it may show damage, perhaps from a previous heart attack.

Using ejection fraction in diagnosis

When examined using an echocardiogram, an important number of patients with heart failure are revealed to have normal ventricular ejection fraction. This situation was previously called diastolic heart failure; it’s now referred to as heart failure with preserved ejection fraction.

Your doctor may mention one of these two EF-related scenarios:

Preserved ejection fraction – also referred to as diastolic heart failure. The heart muscle contracts normally but the ventricles do not relax as they should during ventricular filling.

Reduced ejection fraction – also referred to as systolic heart failure. The heart muscle does not contract effectively, and therefore less oxygen-rich blood is pumped out to the body.

Tests for measuring EF

Your doctor may recommend one or more of these tests to measure your ejection fraction:

  • MUGA scan
  • CAT scan
  • Echocardiogram (or “echo”)
  • Cardiac catheterization
  • Nuclear stress test
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