An ejection fraction (EF) of 20% means that the heart's left ventricle pumps out only 20% of the blood that fills it with each beat. Normally, the left ventricle should pump out at least 55% of the blood that fills it.
An EF of 20% indicates severe left ventricular systolic dysfunction, which can be a sign of advanced heart failure. This means the heart is not pumping enough blood to meet the body's needs, leading to symptoms like:
Shortness of breath
Fatigue
Swelling in legs and feet
Rapid or irregular heartbeat
A low EF can be caused by various conditions, including:
Coronary artery disease
Heart attack
Cardiomyopathy
High blood pressure
Heart valve problems
Treatment options may include:
Medications to improve heart function and reduce symptoms
Lifestyle changes, such as diet and exercise modifications
Device therapy, like an implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy (CRT)
Heart transplantation in severe cases
It's essential to work closely with a healthcare provider to manage heart failure and improve quality of life.
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it means that only 20% of the volume in the heart (more or less) is ejected with each beat.