What is the ejection fraction?

[@DonyaLane]

Thank you, Doc! I have been working very diligently at improving my EF number, since having a heart attack one year ago. Down 30 pounds, eating low carb, hitting the gym almost every day, doing my HIIT training, etc... I have heard of people who have improved their number, so I am planning on being one of them! I never thought I would say this, but I'm looking forward to my next stress test, because I'm gonna crush it.

[@peggymicsky8607]

Please don't listen to the ones who bellyache about you making money, etc. I'm sure they don't do that! I just spent $2K on a Cardiologist and I got about six sentences out of him and a bunch of pills so I appreciate every word you say. You've not only given me some understanding of the heart, you've calmed much of my anxiety and fear. I appreciate your education and experience and thank you choosing to share it. If you make money or grow your clientele in the process, good for you! I hope you are filthy rich and living the good life! Thank you for giving us a bit of it!

[@aaronreeder5753]

You are aawesome I am an RN in the states on a cardiac unit. I am told all the time by patients that I am the only person who has ever explained things clearly in relation to the heart, even better then docs. I mostly use your examples. Thank you doctor! I love these videos :)

[@grahambaker5235]

This man is brilliant. Helped me tremendously

[@katherinetrinidad1717]

My dad just went to the hospital for a mild stroke and was told his ef was 24%, I'm a RN and forget sometimes that medical terminology can be quite confusing to pts and sound like another language. I tried explaining to my dad what was going on with his heart and he still didn't understand until I searched and searched and found this video. He now has a visual of what his heart is doing and I wanted to personally thank you for your content.

[@camarajordan1143]

Thank you Dr. Gupta! You have always been a servant of the people, bless you!

[@catw5294]

Thx - Im a RN on an ortho floor. Echos ordered all the time for cardiac clearance for surgery. Now I understand what they are doing when they roll the little cart into the room, and also understand what the numbers mean. Btw I really appreciate your channel. Think you are doing a great service putting this info out there in lay terms.

[@dlight503]

Thank you for your clear explanation of this term and test.

[@sailingpordos3994]

A very clear and easily understandable explanation. As a cardiac patient I thank you sincerely.

[@jesusistheway5974]

2016 EF 40% Jan 2020 EF 55-60% All praise Honor and Glory be to God he is healing me!

[@jesusistheway5974]

Destination mobileone i forgot to mention that they said my 2016 Echo my Left Ventricle was thick and they thought i had hfpef Chronic Heart Failure With Preserved EF thats what they thought i had and that my heart was weak they said everything is normal now and that im not in heart failure to not worry

[@jesusistheway5974]

Destination mobileone and plus if mine was that low or something to be worried about i would have symptoms swelling of the legs, shortness of breathe etc

[@jesusistheway5974]

Destination mobileone well idk I’m still having symptoms ad they feel like they are getting worse im 27 will be 28 in April and iv had BP since i was like 13 but im also diagnosed with IST Inappropriate Sinus Tachycardia my heart beats in a sinus rhythm just more faster then a regular person im on Metoprolol 50mg and Corlanor 7.5 2x a day for both and iv noticed my BP is high when walking around or getting up from a resting position 120s-80s to 140s/100s sometimes and it freaks me out they told me everything is normal and the DRs own word is “Stop worrying your not in heart failure anymore” i also asked him how my heart was pumping filling etc did i have diastolic dysfunction he said no everything is normal so he didnt see anything wrong with the pumping or filing so idk why im having symptoms still i told him i feel tired all the time and my heart beats hard and fast when im up and moving and he said he wants me to go to a sleep study Thinks i might have Sleep Apnea and that can be my problem idk i just feel like my symptoms are getting worse i dont have swelling or nothing just fast heart rate and high BP when up and around and it freaks me out i have alot of anxiety but thanks for talking to me and so you had a Echo and was in the 40s? And all the problems you had were just breathlessness? And thank you for talking God Bless hope all gets better with you also!

[@jesusistheway5974]

Destination mobileone wow thats crazy so you just started having Vtach? Does it just come on out of nowhere how do you feel when you go into Vtach? Thats scary and your from the UK right? Are you doing a bit better now? Hope all is well thanks for talking with me and yes Mr Anxiety i hate him lol God Bless!

[@BrixxFF]

Kkkkkkkk

[@susannak1755]

I don’t have palpitations anymore (they were stress related) but I love watching these videos. Dr Gupta is amazing his videos are so relaxing.

[@carmella88]

Did u do anything to help them

[@shivaji735]

Sir, I am a big fan of you. Beauty lies in the way you explain complex concept in a simple way

[@gonzagasseruwu1510]

Thanks for the clarity

[@rosemaryobrien8943]

WOW! thank you for all the work you do educating us.

[@alinaplenko2221]

Thank you, Doctor, for your so understanding information

[@EnDoubleEwe]

Thank you Dr. Gupta. Your videos are so well presented and easy to understand. You have a gift for demystifying the mysterious!

[@19111959]

👌Extremely useful Dr Gupta! God bless!

[@HosenS]

I'm grateful for the free education. Thanks, Doctor!

[@cabbys]

Awesome explanation Doc. Very clear and succinct. It’s amazing how complex issues are addressed through basic calculation approach.

[@nalinisingh5653]

Thank you Dr Sanjay great health tips happy holidays to all 🙏 ❤️

[@BluePatch-pc7sx]

I had an EF of 21 % was put on several meds and walked 4 miles a day 4x a week. Now my EF is 51% and getting better.

[@ngothyeaun]

Did u had heart attack when having 21%? I had a second stent few days ago and my Dr told me I am at 35%. Blockage 85% on the right. I had heart attack in 2017 and Ef was 39%. Am worried.

[@stevenmiller7747]

Thye Aun Ngo I had an EF of 23 4 years ago because of cardiomyopathy. Found during routine exam. Never had a symptom. Through meds today EF is 52, low part of normal. Feel exactly the same as when it was 23. You’ll be fine.

[@yogiyogesh815]

Blue Patch1413 That's great... news your EF from 21 to 51 is really remarkable ...keep walking if can add more fish in your diet or take fish oil supplements (omega 3 with EPA & DHA ) stay well , stay safe and healthy....God Bless...

[@nazillamehralian4161]

What medication ?

[@Ghost124-v6b]

@@stevenmiller7747 do you have heart failure

[@mariaroqueta3135]

Dr G ur explanations r always so easy to understand and I enjoy all ur videos bc ur clear. Love u!💜🍃🍃💜

[@SoapinTrucker]

Outstanding explanation Doc, thank you Sir! 👍

[@loudloveen]

Thank you! I'd love to hear your opinion on intermittent fasting.

[@DianeandJess-Daisy]

Me too.. I've been on keto diet for nearly 4 months and trying to help my AF and other heart problems.

[@jesusistheway5974]

Keep going it helps iv done it

[@nickywilks7928]

Dr Gupta explains this so well. My dad's Dr is pretty low at 20% we are trying to improve this with drugs.

[@youlearntoearn]

Try reading Metabolic Cardiology by Dr Stephen Sinatra. He suggests heart supplements.

[@so-cb4bw]

Thanks for every video you make. They keep me living with daily hope.I have CHf and COPD and diabetis on the side. I listen nightly to your words of wisdom. I Wish you were closer to Texas.I am in stage 3 CHF .

[@dhiahassen9414]

This is more than useful doctor

[@nancyshookedoncrochet526]

Mine went down after my mitral valve repair surgery. You look like my surgeon. It's in the high 50s.

[@mariamarian2511]

Very informative. Thanks Dr. Gupta. God bless you. 🙏😇

[@luisperez7420]

Dr. Gupta hope you answer this message, I am a student was trying to learn more about this, what is more accurate an ejection fracture in an echo or ejection fraction in a nuclear stress test?

[@rathodnehal2869]

sanjay sir you are great 🙏🙏 thanks a lot 🙏 its so simple when you explain 👍👍

[@theKaufmanTapes]

Good job Doc!

[@hawknews8503]

Thank you Doctor for an excellent explanation of the ejection fraction.

[@andresperez5119]

Great explanation, thank you!

[@tabascocat5102]

Question I've asked in other places and never got answered:- Why is the EF so reported on and seemingly significant, when it doesn't actually signify the amount of blood being delivered to the body with each beat-the stroke volume. I mean, your EF could be 65% but if it's only a teaspoon of blood-it will not be enough!?

[@lauried4439]

Thank you! Very well explained.

[@327Debbie]

Thank you again! Great explanation!! ( once again)Happy Holidays to you and your family and your cute dog! Hugs, from Florida

[@Blu-Man]

I'm disappointed Gupta stopped fb live sessions don't get it

[@indraniperumal5634]

Thank you for the info, doctor 🙏

[@platanares3030]

hi doctor gupta . please upload a video about congestive heart failure

[@justfelicia6671]

wow! that was SO CLEAR!

[@CharlottesWeb27]

What does an ejection fraction of 74% indicate? Does EF have any effect on/correlation with POTS symptoms?

[@Khe247]

I'm a 50yr old male. This has been a rough year for me, I've had 2 Heart Attacks and 1 Stroke; plus my Ejection Fraction keeps getting worse... Jan 28th EF: 30%-35% May 6th EF: 15%-20% Oct 5th EF:10%-15% I try not to show it to my family, but I'm getting worried... I'm trying to keep the Faith and stay in the fight though...

[@brainpower6807]

How can it be that I measured the ejection fraction in one clinic and they told me that I had a fraction of 62%, whereas after 2 weeks in another clinic I was told that it was 50%? Can it change in such a short period of time?

[@richardcooper3215]

Thanks so much for this video. Interesting about the margin for error, particularly when 49% is borderline anyway.

[@sundarnair372]

nice presentation! well explained 👌👌👌

[@RobertBeriault753]

My ejection fraction was reported as 40%. I gather from this talk is that it could be 35% or 45%. I feel terrible, but my doctor is telling me that nothing can or needs to be done about it. Would she say the same if it had been reported as 35%%

[@douglastabor4237]

Is it possible to increase EF through exercise? I read a study from 2011 that indicated interval training was effective for that purpose. Are there others? You provide a terrific service to the world. Thanks so much!

[@SANTOSHSHARMA-yn7mb]

Very nice information and way

[@RobertoChavezM]

can the ejection fraction be improved?

[@jukkao.parviainen8669]

In the age of 18-20 yes EF is 75% which is kept as a maximum value. Below 50 % is kept already as a “weak heart”,

[@mariaroqueta3135]

Dr G I would love ur opinion on IF, Keto, & Western A Price types of best eating guides for CHF patients. Thank u!♥️💕♥️💕♥️💕♥️

[@aggamewhatweplay]

Hello Doc, i request you to kindly make a video on RBBB.

[@tegant.2417]

he does have a rbbb vid

[@NEOM6736]

Great talks of yours Dr. Gupta. Question: if the heart was a pump would it not be situated near the ankles of the feet. Thus the heart does not pump blood but rather sucks blood.

[@justmejonboy]

Would the EF of somebody who exercised a lot be higher ? Are there any reasons that somebody’s EF maybe temporarily higher ? Stress, anxiety etc ? Many thanks for your informative videos, really helpful.

[@sultankhan2739]

Possible to regain lost ejection fraction? Atfib dropped my ejection fraction from 60 to 50.

[@joea363]

Please talk about the MRI as a measurement tool where was found to be 25% left, 28% right. How serious is this?

[@David-pq3cw]

thanks so much for the good information

[@trevam5437]

How can you improve you EF? I was at 18% about 6yrs ago at my last check I was around 28% diet/exercise? This video is actually the first time I’ve learned normal EF is 60%

[@stevenmiller7747]

Normal EF is 50-70

[@bricktop6402]

How did you improve yours ?

[@stevenmiller7747]

@@Chaddest_Maximus to be precise my cardiologist says between 50-70. Yes different cardiologist’s use different numbers.

[@sunithakumari9867]

Thank you so much Doctor, so well explained 👏...Never ever thought how it's calculated at depth though as a medical transcriptionist transcribe it only a daily basis... God bless you Doctor 😊😇🙏🙇‍♂🌹💐🙏

[@tegant.2417]

Hi please explain HFpEF on your next vid and what causes it. Thank You

[@susanlockwood2805]

Yes, I’d like to know more about this as well...various “heart failures” are difficult for the lay person to understand.

[@jesusistheway5974]

Heart Failure With Preserved Ejection Fraction is also called Diastolic Heart Failure it means your heart is having problems while filling with blood usually when you have hfpef its more normal in older women and your heart has problems with the filling phase but not the pushing out Blood part usually the EF will be around 40-45% but im no doctor this is just on studying it and i would love to see DR York explain HFwPEF more better hope this helps God Bless!

[@jesusistheway5974]

Tina SG what symptoms do you have?

[@susanlockwood2805]

Thank you...I’m the older female, so I guess it fits...

[@tegant.2417]

@@susanlockwood2805 look at my answer i was 41 at first diagnosis,

[@platanares3030]

hi doctor gupta. please upload a video a bout congestive heart failure.

[@shirleyfretty487]

Thanks Dr. Gupta!!!!!

[@thevirtualchurchofthedisil9246]

Thank you Doctor for the information! I share my experience with EF in my video, EJECTION FRACTION DISTRACTION.

[@johannesvanhoek9080]

Can’t left Ventricle block also Have an affect on this test or ejection fraction

[@sos1691]

It is because of any such blockage that the test is done in the first place. No obstruction, no test needed but should one be done it will show 60% ejection which is normal.

[@johannesvanhoek9080]

sos my test showed 45 % but what I do not understand is I feel the same as I have for many years I am 67 years old I work outside and do strenuous tree removal I have no swelling no shortness of breath but occasionally pain in my left arm after I eat and exert myself but I always attributed It to the hiatal hernia that I have ! PS THANKS FOR THE HELP

[@sos1691]

The experts tell us that a hiatal hernia must be treated with a very special diet and sometimes medication. You should pay close attention to that and be sure to keep it under control. I am several years older than you are with a heart condition brought on by high blood pressure/high cholesterol plaque. I am currently treating the condition with food supplementation [ for about two weeks ] and I notice a lower heart rate and lower blood pressure - changes in how I feel are definitely taking place so I monitor myself carefully and adjust the dosages of supplementation accordingly. I have cut out carbohydrates [ breads, cookies, pastries, anything made from flour ] and sugar, from my diet, and I now concentrate on eating proteins, vegetables, fruits and nuts, instead. The idea is to avoid any sugar-based diet-intake [ including all soft drinks, most juices, beer and alcohol ] that will spike large insulin production which can bring about insulin-resistance. Insulin-resistance is the underlying cause of all our body problems, according to Dr. Berg. Drink plenty of water and keep the belly-fat slim. If I were you, I would stop the strenuous work immediately. Do very moderate exercise daily, instead. Walking is good. :-)

[@johannesvanhoek9080]

sos thanks 😊👍

[@hamishmcgregor4954]

@@sos1691 the normal is actually subjective and between 55 to 72%.. 60 may be what is normal for Dr Gupta's practice and knowledge vs what others have learnt

[@amnindersingh5127]

sirrr i hve mitral valve prolapse wth trace regurgitation..m 21 years old...nd symptoms r... heaviness around chest...difficulty in breathing( sometimes)... tachycardia...sir actually m worried abhut tht is regurgitation increases during tym????.....m BAMS students..nd drs said m perfectly fyn nd nt to worry

[@niketanchettri5650]

I have MVP too.

[@niketanchettri5650]

I have MVP too

[@amnindersingh5127]

@@niketanchettri5650 is it increases??

[@niketanchettri5650]

It depends on person to person , I am 22 and I was very worried about it. Please don't worry and go in depression because I had went and it is more worse. Because MVP is very normal and regular mild exercise is all you need. Please don't go in depression , you are healthy.

[@niketanchettri5650]

Talk to me on Instagram @niketan_chettri

[@kathyhollowell7889]

is there anything i can do to get the number better??

[@lindaowens65]

Is 84% a good LVEF?

[@sohailkamran472]

How can we contact with doc gupta directly here

[@Spiderveins60]

Thank you dear Sir.

[@shashimoghe3920]

Dr gupta sir good morning Lucky to get your latest video Very deeply and clearly explained the arithmetic involved in measuring the EJECTION FUNCTION of our beloved heart. Thanks. A few days ago through my email and facebook messenger I have requested your kind advice on one of my heart related symptom I will be highly obliged, if you kindly offer your advice at your convenience, because I have developed abondent faith in you, after connecting with your knowledge boosting videos good wishes. 14/12/2019

[@sohailkamran472]

Can i ask my question about my heart condition here to get direct answer from doc gupta

[@suecondon1685]

Mine is 55, but i have mild aortic stenosis, mitral regurgitation and A Fib. They say 55 is normal but I know it has dropped in 3 years and I'm so puffed out all the time.

[@sigibomba]

Doc, i had a heart attack at 2017 at the age of 56. 6 months ago AT THE ECO I had some improvement, but now my LV IS 35%. in you opinion should i have i cd?

[@willaimmurray4758]

Hi doc. I really enjoy what your doing. Two years ago I was diagnosed with EF . I've had high blood pressure my whole life. I work hard and now eat well. What diet ? What things do I need to do . Reverse the numbers. Thank you in advance.

[@Th3MagicBullet]

Any success with reversal?

[@stevenmiller7747]

What is the most reliable way of finding ejection fraction? I’ve heard it is something called MUGA, true?

[@dianeframe7251]

Cool! Learned something new!

[@noeparangue8214]

Doc i indergp 2decho may e fractipn is 20'/. Only hows my heart kno

[@HarHarMahadev-xm3xt]

Bro bp normal max kitna hona chahiye aur Kya diet lu Kya 150/100 hai toh med Leni padegi Kya bataye jara

[@jaybee608]

Okay, now I went in with an ejection fraction of 25, with a PE. After 2 days in hospital felt way better. Three weeks later, had my echo and ejection fraction was up to 35. Second test 6 months later, up to 45. Plateau at 45 to 50 on third test. Now was I ever at 60 percent at the age of 61? All test associated with the heart is spot on. Sooo, is 45 to 50 my number?

[@WhereTheBeaversLive]

I wondered about this. My echo report said there was a reduction in the ejection fraction and I was curious what it meant.

[@jimdemerath1032]

Thank you

[@nikkion2140]

Thank you.

[@adelejay7747]

Thank you for explaining this very clearly.👍

[@marcobenatar7638]

After a heart attack my EF was 50. Now for no reason it's at 35 and I feel the same. I have lost 12 kg, walk nicely, taking my meds regularly and I'm worried by this drop in EF. Can it be improved and if yes, how?

[@peggymaresh]

Rewatch the video at the 3:50 mark, it could simply be due to competence of the echo technician.

[@marcobenatar7638]

@@peggymaresh Thanks for the reply, but 15 points is a lot.

[@peggymaresh]

@@marcobenatar7638 Yes I guess you are right. We all are in the same boat worrying about this, and yet I know that worrying will not solve anything.

[@marcobenatar7638]

@@peggymaresh thanks for your kind words. As my cardio says, it's just a number, as long as I feel fine.

[@youlearntoearn]

Marco Benatar Try reading Metabolic Cardiology by Dr Stephen Sinatra. I use his Awesome Foursome supplements.

[@naechtl]

My EF is 75% im male 21. Im worried

[@mikeoftheussenterprise4895]

Thank you. My doctor says that I have diastolic disfunction.

[@MyChaz2]

Hi dr.. my ejection fraction was 15%. After a number of procedures it was 45-55%now it's 35% 6 months after ablations 2, watchman procedure, on defibrillator pacemaker. Many drugs. Sotalol, carvedilol,lasix,diovan, Lipitor. Where should I go from here. ?? My cardiologists really have tried but things seem bleak

[@bricktop6402]

How are you getting on ?

[@machomalli]

I've had heart attack six months ago and my Left Ventricular ejection fraction LVEF reduced from 60%( normal) to 45%. I'm wondering can I restore my ejection fraction back to normal (60%) by life style changes such as diet and exercise without taking medicines. Awaiting your reply.

[@rickymay8436]

I had an LAD MI 7mos ago at 64 with an EF of 35. Adjusted my diet, went to cardiac rehab then walked a couple miles every other day. Also got on the cardio post MI drugs and take them as prescribed. Had a nuclear stress test 2 weeks ago 71% EF. The answer to your question is yes. Praise God!

[@machomalli]

@@rickymay8436 That's a relief! I'm really young and active person. I do aerobic and weight training exercises everyday. I practice yoga and breathing exercises too. I take post MI medications everyday. I want to bring by LVEF back to normal by lifestyle changes. Your reply has brought me a great comfort. Thanks again.

[@patlaing4489]

Interesting😊

[@stuartvasquez6404]

Dr I am 27 with a wife and 2 sons just recently diagnosed with heart disease. I have an ejection fraction of 40% and idk why aside from being overweight and the bad diet I’ve had the past 10 years. I am 5’6 215 recently started the Leto diet about 3 weeks ago and my triglycerides shot down from 150 to 98 cholesterol is also lowering and now I’m not considered diabetic along with my blood pressure going from consistently 150/100 to 135/80 sometimes 70. Please doc idk what to do and I really don’t believe the 5 pills the heart failure specialist wants to put me on is the way to go. I also have sleep apnea although I don’t think it’s severe. Please help me with any advice. I need to be around for my wife and sons but I just don’t think the pills are the answer especially after seeing how my levels shot down in 2 weeks of keto. The doctor wants me on entresto, jardiance a statin and something else.

[@theKaufmanTapes]

You are on the right path . . . keep going. Slow and steady wins the race. I have just faced up to my own issues. I am going to lose the weight. It’s all just a bunch of bad habits. No mystery for me anyway. Be patient and never give up . . 🙏🙏🙏

[@Aravindswamyrhs]

താങ്ക്യു sir

[@williamtaylor9368]

So I assume there is a margin of error for determining the EF.

[@emonahmed6521]

how ef can increase my is 36% now pls help

[@Chichilovee]

11 years ago after giving birth mine was between 3 and 5 percent. I was told later that below 25 is ICU. They removed 20 pounds of fluid. I was basically drowning. After 9 months it had improved to 57 percent.

[@maria_c9278]

Are you still in chf now???

[@jesusistheway5974]

Happy to hear God Bless

[@emonahmed6521]

how ef can increase my is 36% now pls help

[@emonahmed6521]

@@Chichilovee in this week engiogram will be done then it will be clear .my heart wall is hypkinetic.i will inform u after engiogram .pls help me

[@emonahmed6521]

@@Chichilovee my engiogram os done ,there is no block in my heart but why my lvef 36% and wall motion abnormallity

[@S876s]

thanks

[@Welsh_Aussie]

Mine is 55% is that ok?

[@HRKM1999]

Can you do a video on Lown ganong levine syndrome?

[@louiscabral7306]

In 2016 my Ef 15%-- 2018 45%----- 2019/2020 50% my question is since my EF is 50% ,why do I still not feel 100%, I still jst dont feel right?

[@naynesh33]

It must be 55 or above and all blood level proper

[@FaisalKhan-cb9fh]

What medicine u used

[@louiscabral7306]

@@FaisalKhan-cb9fh Well I'm feeling better these days, I haven't been able to get my EF checked lately (because of Covid19),my meds since 2016 have been,,Losarton,,Rosuvastatin,,they took me off Carvedolol,Fourisimide, 81 mg asprin, potassium

[@bricktop6402]

How did you improve it ?

[@nazillamehralian4161]

What potassium dosage did you have?

[@donnasanchez5484]

Is Ejection fraction is greater than 80% a good thing?

[@tamermakram8121]

Sure bad thing, it means hypertronic cardiomyopathy

[@siobhancunningham2923]

​@@ltgaming1190 wrong advice