Common "Ejection Fraction" queries answered by top doctors | iCliniq

Ejection Fraction

The measurement of how efficiently your heart is pumping blood out with every contraction is called ejection fraction or EF. The ejection fraction is generally tested for the left ventricle (the lower left chamber of the heart). The normal EF is 55 %, and if it falls below 55 %, it indicates a high risk of heart failure as the heart is not functioning properly.

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My father have low ejection fraction rate. Please help.

Query: Hello doctor, My father is 56 years old and is suffering from a low ejection fraction rate of 25%. Is there any way of recovery?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to This depends on the cause. If the cause is ischemic, meaning it has occurred due to blockages and the heart muscle is already dead, then it is unlikely to improve or improve slightly. And if the heart muscle is not dead, then opening the blocked vessel will help in i...  Read Full »

Is slight increase in trabeculation of left ventricle a worrying issue in 9 months old baby?

Query: Hello doctor, My son is 9 months old and we visited a cardiologist a week ago. He does not have any symptoms and is a healthy child. All the dimensions were within range and ejection and fraction were 70 and 40. What they did find was a slight increase in trabeculations of the left ventricle. I have...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Trabeculations are a normal findings in the left ventricle in both the adults and children. When these become excessive along with an increase in LV thickness, then it is considered abnormal. Now this slightly increased trabeculations is entirely a subjective finding...  Read Full »

My doctor recommended aortic valve replacement surgery. Kindly advice.

Query: Hi doctor, The patient is a 54-year-old female and had a 42 mm Hg mean gradient and 60 % LVEF. She was recommended aortic valve replacement surgery, and the next echo showed a 38 mm mean gradient and a 0.14725 square inches aortic valve area. We found another echo that was done six years ago. LVEF w...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I understand your concern. Based on the information provided, the patient's aortic valve disease seems to be progressing slowly, as evidenced by the relatively stable echocardiogram findings over six years. However, the patient's current symptoms of fatigue on exertion...  Read Full »

Is jerky septum a normal finding seen on the echocardiogram?

Query: Hello doctor, I am 50 years old. My echo is normal with LVEF of 50% and dobutamine stress test negative for ischemia (LVEF of 58%). But, it shows a jerky septum? Is jerky septum a normal finding?  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to There are a few causes of jerky septum like bundle branch block, increased pressure in the right side of the heart, and disease in the pericardium. As your echo is normal, because of increased pressure on the right side of the heart, disease in pericardium is les...  Read Full »

My wife has postpartum cardiomyopathy. Please advise.

Query: Hello doctor, Recently my wife survived after having an attack of postpartum cardiomyopathy. She is 26 years old, and her EF was reduced to 20 % when she was admitted. She had an attack of repetitive convulsion, and her lungs got filled with gastric juice. Now after remaining hospitalized for more ...  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hello, Welcome to Regarding the diet restrictions, common salt intake should be within one teaspoon daily. Salt intake to be maintained strictly. Avoid strenuous activities. She should be on rest till she improves. It is very good that her EF (ejection fraction) improved to 55 %. That ...  Read Full »

My echo showed a drop in the ejection fraction. Please help.

Query: Hello doctor, I am a 57-year-old male and the results of my recent annual resting echo showed the following. Tri-leaflet aortic valve with well-compensated moderate regurgitation (2-3/4) as well as mild aortic sclerosis but no stenosis. Normal size left ventricle (130 mL) and no evidence of hypertro...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I understand your concern. Firstly, since it is a moderate regurgitation and compensated, it is not expected to damage your heart that badly and drop your ejection fraction. Also, echo is a subjective investigation and while calculating, a slight change in cursor pos...  Read Full »

I underwent a 2D echo test. Please review my reports.

Query: Hello doctor, I have thickened tip of mitral valve leaflet with prolapse of the mitral valve leaflet to the left atrium during systole producing moderate mitral regurgitation with an EF of 34% and left atrial enlargement. There are normal coronary artery sizes. There is normal pulmonary artery press...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to I have gone through the attachments (attachment removed to protect patient identity). Your echo (echocardiogram) report is showing that you have rheumatic heart disease with involvement of mitral valve. There is a leak in mitral valve termed as mitral regurgitation. ...  Read Full »

Why has my mother's EF fallen since last year?

Query: Hi doctor, My mother was diagnosed with mitral valve regurge and atrial fibrillation before many years. She is taking Dilatrend twice a day with vitamins. She is 65 years old now and done an ECHO every six to nine months. For the past three years, she has the following ejection fraction. She had an ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Echocardiography is a subjective test and the results may vary between the observers and from time to time. Mitral regurgitation can occur due to ischemia or valvular pathology. In the case of secondary mitral regurgitation, if the heart muscle is viable, angioplasty he...  Read Full »

My dad has an LVEF of 25 percent. How to cure this?

Query: Hi doctor, My dad is about to be sixty years old and has an LVEF of 25 percent, and rest is normal and no other diseases. What precautions should he take? How to cure this? Kindly help.  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I can understand your concern. Take regular cardiac medicines. Avoid oily, spicy, and junk food. Avoid fatty food. Also, restrict the fluid intake to less than 1.5 liters per day. Unfortunately, there is no cure to reverse this condition. Thank you.  Read Full »

My cardiac index is 2.3 and ejection fractions are 56, 47 and 67. Are the values normal?

Query: Hello doctor, I recently had my cardiac MRI. My cardiac index is 2.3. And my ejection fractions are 56, 47 and 67. Do these ejection fractions seem normal? Is my cardiac index low? I have increased heart rate during exercise and pain in my left arm.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to The cardiac index is a bit on a lower side, but two of the ejection fractions are normal. Normal is more than 55 percent. If two of the three readings are normal, then we should consider your function to be normal. And since heart function is normal, cardiac index assu...  Read Full »

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