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An EF below 40 percent is considered low. This may show that a person has heart failure with reduced ejection fraction (HFrEF) or cardiomyopathy — an enlarged, thick, or stiff heart muscle. A lower EF means that the heart’s pumping action is weaker.

A normal ejection fraction ranges from 50% to 70%. Ejection fraction (EF) describes how well your heart chambers (the left or right ventricles) can pump blood to your body to deliver oxygen and nutrients. Patients with heart failure usually have。

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