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It does not always indicate that a person is developing heart failure, but it could indicate damage, perhaps from a previous heart attack. An ejection fraction measurement under 40 percent might be evidence of heart failure or cardiomyopathy. In severe cases, EF can be even lower than 40.
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Abstract. Background. Reduced left ventricular (LV) ejection fraction increases the risk of ventricular arrhythmias; however, LV ejection fraction has a low sensitivity to predict ventricular arrhythmias. LV dilatation and mass may be useful to further risk‐stratify for ventricular arrhythmias. Methods and Results.
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