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Image of a normal heart muscle

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

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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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.