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Heart Failure With Reduced Ejection Fraction (HFrEF)


Ejection fraction is a measure of the heart’s ability to pump out blood. With reduced ejection fraction, the heart can’t pump with enough force to push blood throughout the body and deliver the oxygen it needs.

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Normal Heart


Strong muscular walls squeeze and relax to pump blood out to all the organs and other parts of the body.

Image of a stretched heart muscle

Heart Failure with reduced ejection
fraction HFrEF


The heart muscle becomes overstretched and too weak to
pump blood properly. About 50% of patients with Heart
Failure have HFrEF.

Most common symptoms

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Shortness of breath

Patients with Heart Failure often have trouble breathing as a symptom. They can experience trouble breathing during activity, as well as when at rest

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Swelling

Patients with Heart Failure may have swollen legs, feet, or ankles

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Trouble breathing while sleeping or lying flat

Patients with Heart Failure often have trouble breathing in their sleep

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Rapid weight gain

Patients with Heart Failure can have sudden changes in weight—gaining 3 lbs or more in one day.
If you have Heart Failure and notice this symptom, call the doctor right away
 

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Coughing

Patients with Heart Failure may be bothered by a nagging cough

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Confusion

Patients with Heart Failure may have a harder time maintaining attention or focus

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Fatigued or feeling tired

Patients with Heart Failure often feel exhausted or a lack of energy

Both types of Heart Failure share the same symptoms. Learn the differences.

Hear a real patient’s story


Learn how Freddie discovered her HFrEF and what she does to stay on top of it.

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Diagnosing HFrEF


HFrEF is most commonly detected with an ECG, or echocardiogram.  

If your ejection fraction is less than or equal to 40% you have reduced ejection fraction.  

That means your heart muscle is weak and is losing its ability to pump out the amount of blood your body needs.

 

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What it may take to diagnose

Your doctor may suggest one or more of these tests to measure your ejection fraction:

  • Echocardiogram (ECG)—the most widely used test 

  • MUGA scan 

  • CAT scan 

  • Cardiac catheterization 

  • Nuclear stress test

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Sign up for a free Heart Failure Handbook

Get a free Heart Failure Handbook when you register for the Keep It Pumping support program. It’s filled with useful tips and tools to help you manage the condition.

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Start prepping for the conversation

Get a Doctor Discussion Guide for a personalized conversation that can help you and your doctor decide on the best ways to manage your Heart Failure.