How’s your heart
pumping today? Admittedly, most people probably don’t know that answer off the
top of their head.
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But knowing — and effectively managing — your ejection fraction can make a big impact on the quality of your life and health. Keeping tabs on it not only helps your doctor treat you more effectively but also leads to better outcomes.
Cardiologist J. Emanuel Finet, MD, says it straight: “Low ejection fraction is directly proportional to survival. By improving it, you improve your survival outlook.”
Dr. Finet does
the math on ejection fraction and gives seven ways to help you improve your
heart’s pumping power.
What is ejection fraction?
The heart has two
main muscular chambers: the left and the right ventricle. Each chamber has MVP
status in the body, working together to perform jobs you literally couldn’t
- Right ventricle: Pumps blood to the lungs to get
- Left ventricle: Pumps oxygenated blood throughout
A heart at rest
holds a certain amount of blood. Ejection fraction refers to the percentage of
that blood your heart pumps out with each beat.
normal heart size and rate, when ejection fraction is normal, the heart is
pumping a normal amount of blood,” Dr. Finet explains. “We can assume the blood
is moving at a normal speed around the body.”
But a low ejection fraction spells trouble. “Low ejection fraction means the ventricle is not contracting sufficiently to pump enough blood out of the heart,” he says. “If the ejection fraction is abnormal, that person has some degree of heart failure.”
What’s normal ejection fraction?
Doctors calculate your ejection fraction using imaging techniques such as an echocardiogram. They measure the result in percentages. Here’s a breakdown of the numbers:
- Normal ejection fraction (50% to 70%): Your heart is getting the job done!
- Mildly below normal (41% to 49%): Though you may not have symptoms, your
heart has started to struggle to pump enough oxygen-rich blood throughout the
- Moderately below normal (30% to 40%): Patients experience heart failure
with reduced left ventricular function symptoms. “The heart can’t supply the
demands of the body because it can’t eject enough blood on every beat, so it
increases in size and rate to compensate,” Dr. Finet explains.
- Severely below normal (less than 30%): Patients with an ejection fraction
this low frequently have significant symptoms due to the body’s inability to
compensate for it. In addition, the risk of life-threatening heart rhythm
disturbances is increased.
How to improve your ejection fraction
Taking care of your ticker not only helps heart failure symptoms, but it may even improve your ejection fraction and overall survival. Here are some ways to do that:
1. Partner up with a doctor
Whether it’s a cardiologist or your primary care physician, talk to a doctor about your symptoms. Doctors have many ways to help manage heart failure. From medications to implantable cardioverter defibrillators, their heart failure toolkit is chock-full of effective options to improve your heart health.
2. Be a heart detective
Put this on your
doctor’s to-do list, too. By identifying and treating the underlying causes of low
ejection fraction, you take major steps toward improving your quality of life. For
example, if hypothyroidism is part of the puzzle, doctors can work on managing
your thyroid levels. Similarly, your blood pressure or diabetes may need
attention, as well as other modifiable conditions.
3. Get moving
Is there anything
exercise can’t help? Physical activity, in particular aerobic exercises, can
help your heart meet your body’s demands. It’s a classic case of doing more
“If the heart weakens and provides the body with less oxygenated blood, the body suffers,” Dr. Finet notes. “But if we help the body use that oxygen more efficiently, we may improve your overall condition even if we are unable to change your heart function.” Talk to your doctor about joining a cardiac rehabilitation program or about where to start if you want to do it on your own.
4. Watch your weight
won’t necessarily improve ejection fraction, but it can make you feel better,” Dr.
Finet says. Tracking your weight will also help you and your doctor determine
whether fluid is being built up due to the abnormal heart function.
5. Go on a salt strike
Consuming too much sodium, or salt, can have a domino effect:
heart muscle, or cardiomyopathy, provides less blood to the kidneys.
kidneys retain sodium and fluid to compensate for the low blood flow.
traps water, which abnormally accumulates on the heart and blood vessels.
can become congested, or volume overloaded, because they have too much fluid
that further impairs the functioning of the heart.
- The excess
fluid goes to the lungs, legs, liver and abdomen, causing the typical heart
failure symptoms, such as shortness of breath, fatigue and swelling.
“So sodium for
heart failure patients is like poison,” explains Dr. Finet, who recommends keeping
salt consumption to no more than 1,500 to 2,000 milligrams per day. (A
1.5-ounce bag of potato chips is around 255 mg.)
6. Just say no
substances that can cause more damage to your heart, such as alcohol, cocaine,
amphetamines and cigarettes. These vices can tank your ejection fraction and
worsen your symptoms.
7. Say goodbye to stress
Stress can raise your heart rate and blood pressure, which
are heart failure no-nos. “Less stress can help patients improve their heart
condition and help them feel better.”