Ejection Fraction Explained: What Does EF 35%, 40% or 60% Really Mean?

HG Cardiowise

HG Cardiowise

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What does an ejection fraction (EF) of 35%, 40%, 50% or 60% actually mean?

If your echo report says LVEF 35%, does that mean your heart is only working at 35%? Does an EF of 60% mean your heart is completely normal? And can you actually have heart failure despite having a normal ejection fraction?
In this video, cardiologist Dr. Ameya Amonkar explains ejection fraction in simple, practical language—and clears up some of the most common misunderstandings patients have about their echo reports.

🫀 In this video, you'll learn:
• What ejection fraction actually measures
• What is considered a normal EF
• How EF is measured during an echocardiogram
• Visual EF versus calculated EF
• Why EF 30% does NOT mean your heart is “70% damaged”
• Why someone with EF 60% can still have heart failure
• What heart failure with preserved ejection fraction (HFpEF) means
• Whether a change from EF 40% to 45% represents real improvement
• Why EF measurements can vary between echocardiograms
• Whether a low EF can improve with treatment
• Why cardiologists look at much more than EF when interpreting an echo


You can save it on your phone or share it with someone who has recently had an echocardiogram or been diagnosed with a low ejection fraction.
The most important message:
An EF of 35% does not mean only 35% of your heart is alive.
And an EF of 60% does not automatically mean everything about your heart is normal.
Don't fear the number. Understand the number.
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👨‍⚕️ ABOUT DR. AMEYA AMONKAR
Dr. Ameya Amonkar
MD, DM, FACC                                                                                                                                        Consultant Cardiologist
HG Superspeciality Clinic, Thane
HG Cardiowise is a patient-education initiative dedicated to explaining cardiovascular health using clear, practical and evidence-based information.
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⚠️ Medical Disclaimer:
This video is intended for general education and awareness and does not replace individual medical advice, diagnosis or treatment. Ejection fraction must be interpreted along with symptoms, clinical examination and other cardiac investigations. Please discuss your individual results with your treating doctor.

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