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ejection fraction is a measurement of how well the pump can squeeze and eject blood that fills the the heart chamber an ejection fraction higher than 50 percent is considered normal one at or below 40 percent is considered reduced so ejection fraction between 41 and 49 percent is now considered mildly reduced when heart failure symptoms in our signs occur in a patient with ejection fraction exceeding that of 50 percent we call that heart failure with preserved ejection fraction when heart failure occurs in a patient with ejection fraction less than 40 percent we call that heart failure with reduced ejection fraction when heart failure occurs in a patient with ejection fraction between 41 and 49 we call that heart failure with mildly reduced ejection fraction