Ejection Fraction is how efficient your heart is pumping. We take the diastolic dimension of the left ventricle (main pumping chamber) and the systolic dimension of the left ventricle. We then use a formula with these two dimensions and it gives us an percentage (ejection fraction). Basically, if you have wall damage or significant enlargement of the heart, then your EF will be lower. EF that are 55% or above are considered normal (normal range is gernerally 55-70). EF that are 46-54% are considered fair and EF that are 45% and below is CHF (congestive heart failure). IF you have an EF of 35%, then you heart is barely pumping out any blood and you get extremity edema, fluid in your lungs, and around your heart (which puts even more pressure on it). Now it is possible for someone to have a heart attack and the EF be at 30% (they can hardly move or exert themselves), and after sometime the heart start to repair the muscle and their EF goes back up. Most of the time, we use certain meds to help bring the EF up. Normal LV Diastolic dimensions would be around 3.7-5.6 cm; Systolic dimensions at 1.9-3.7. If you have a 5.5 cm dia. dimension and a 3.2 systolic, then your EF is high (normal). If you have a 5.5 cm dia. and a 4.2 systolic, then your EF is low (abnormal).
Hope this helps.
Geoff Garst
Board Certified
Vascular Specialist
Cardiac Perfusionist
PS: Karma is always welcome here!