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when a person has heart failure their physician may tell them that they have an ejection fraction of a certain number what does this mean the ejection fraction is a measure of the heart squeezing ability on the board Ive shown the heart in relaxation or diastole and the heart in systole or when it squeezes the difference between these two measurements is the ejection fraction its measured in percent and one would think that a hundred percent is a normal ejection fraction but thats not true the normal ejection fraction is between 55 and 65 percent that is a little more than half to two-thirds of the blood in the ventricle is ejected with each heartbeat well there are many numbers for ejection fraction and they can range from normal to quite impaired on the board Ive shown a normal ejection fraction 55 to 60 and a severely impaired ejection fraction of less than 20 its important to remember that these ejection fractions are not precise the techniques were measuring them such as echo