A reduced ejection fraction (below 50%) often indicates that cardiac muscle weakness - or cardiomyopathy - is present. The amount of reduction in the ejection fraction often reflects the severity of cardiomyopathy. Patients with heart failure due to cardiomyopathy most often have ejection fractions below 40%.
The ejection fraction is most often measured with an echocardiogram, but it can also be measured by a MUGA scan or during a cardiac catheterization.

