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Ejection Fraction. ≤40% is pumped out during each contraction (Symptoms may become noticeable even during rest.) It is also possible to have a diagnosis of heart failure with a seemingly . normal (or preserved) ejection fraction of greater than or equal to 50%. The . ejection fraction. compares the . amount of blood in the heart. to the39% or less is heart failure with reduced ejection fraction (HFrEF): Pumping ability is below normal. The lower the ejection fraction, the higher the risk of life-threatening complications, like cardiac arrest. Symptoms may be severe and may affect you even when sitting still. What causes reduced ejection fraction?
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