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Ejection fraction (EF) is a measurement, 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. A normal heart’s ejection fraction is between 55 and 70 percent.
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European Society of Cardiology and American Society of Echocardiography guidelines report normal LVEF as >50% and >55%, respectively ( 2, 3) and clinical HF trials have defined left ventricular ejection fraction (LVEF) 50% and >55%, respectively ( 2, 3) and clinical HF trials have defined left ventricular ejection fraction (LVEF) <40-45% to indicate LV systolic dysfunction ( 4, 5 ). However, groups with asymptomatic LVEF 40-50% show greater risk for HF .
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