If you just found that your Ejection Fraction is only 30% then you are not alone! In India, over 8 million people live with heart failure, many with EF below 40%. And many heart failure deaths could be avoided if people had a timely, non-invasive intervention. SAAOL Heartcare Delhi can help you improve your low ejection fraction. Firstly, please know that you and the way you have been living your life, the food you eat, have done enough damage to your heart that now it is struggling to pump enough blood. Hence, you have a low ejection fraction or, in simpler words, your heart has a pumping problem. It can be caused by various reasons, and as a matter of fact, it is a heart disease that needs immediate attention. We at SAAOL Heartcare Delhi, under the guidance of Dr. Bimal Chjajer, have been working with thousands of patients with low ejection fraction (EF). The majority of the people arrive as confused and frightened patients who are simply told that they have no choice but to take medicines for life or get a bypass surgery, stent, or transplant. But, with proper care, many patients have increased their EF without surgery, with an evidence-based, non-invasive heart treatment option known as EECP treatment in Delhi/NCR. Our aim is simple: to provide you with the safest alternative to bypass surgery and to help you avoid bypass surgery, even reverse heart disease without surgery.
What Is Ejection Fraction (EF)?
Ejection fraction refers to the proportion of blood the heart pumps out with each beat. Imagine your heart as a pump. If it fills with 100 ml of blood, a healthy heart pushes out 55-70 ml, that’s 55-70% EF. Anything below 50% is considered low. Below 40%? Worrisome.
What are Normal Ejection Fraction (EF) Ranges?
Ejection Fraction (EF) (%) | Meaning |
55–70% | Normal |
40–54% | Mild dysfunction |
30–39% | Moderate dysfunction |
Below 30% | Severe dysfunction |
What is Low Ejection Fraction (EF)?
Low ejection fraction means your heart is weak and is struggling to pump blood. But it doesn’t mean that you are doomed. Your heart hasn’t stopped. It’s simply having a hard time keeping up with your body’s needs. People with low EF often experience:
- Breathlessness on walking or lying down
- Fatigue after minimal activity
- Swelling in the feet
- Irregular heartbeat
- Chest heaviness or discomfort
But guess what? Many people are living with an ejection fraction of 25 to 35%, yet many of these people go on to live active, happy lives, if they do the right things.
What are the Causes of Low Ejection Fraction (EF)?
- Old heart attacks (scarred heart muscle)
- High blood pressure over the years
- Cardiomyopathy (heart muscle disease)
- Valve disorders
- Uncontrolled diabetes or thyroid issues
- Alcohol abuse
- Viral infections like myocarditis
Sometimes, there’s no clear cause. That is where expert evaluation is most important.
Can You Improve Low Ejection Fraction?
Yes, your heart muscle does a good job of healing, especially if the damage is functional (not completely dead). The EECP therapy has broken surgical norms and is proven to be the most beneficial in improving low ejection fraction in heart patients, according to the IJAM, International Journal of Advances in Medicine.
Here’s what helps in combination with EECP therapy:
- Lifestyle modifications (zero oil diet, salt restriction)
- Medications to unload the heart and detox therapy
- Stress reduction and exercise rehabilitation
What Is EECP Therapy?
EECP is short for Enhanced External Counterpulsation. It’s a non-invasive treatment using cuffs around both legs and thighs that rhythmically inflate and deflate with the beat of your heart. Sounds simple? It is, and powerful. It:
- Increases blood supply to the heart
- Opens natural bypasses (collateral circulation)
- Reduces workload on the heart
- Improves oxygen delivery to weak heart muscles
- Helps raise EF levels over time
EECP is FDA-approved, recommended by the American College of Cardiology, and is considered a safe option for patients who have heart failure, angina, or who are not recommended, or cannot receive, invasive procedures.
How EECP Helps to Improve Low Ejection Fraction?
It Improves Diastolic Filling
In heart failure, the heart often fills poorly between beats. EECP increases venous return (blood back to the heart), improving filling and preload. This directly supports better ejection.
It Builds Collateral Circulation
Your heart has backup routes. EECP helps them open up. This increases supply to starved areas, particularly when part of the heart is “hibernating” because of chronically low blood flow.
It Reduces Afterload
EECP decreases the resistance that your heart has to push against (afterload). This aids the weakened heart in more effectively contracting.
It Enhances Endothelial Function
EECP increases nitric oxide production, which is the body’s natural vasodilator to relax blood vessels. That would translate to lower BP, better perfusion, and a happier heart.
Who Should Consider EECP?
You need to consider EECP if:
- Your EF is below 50%, especially <40%
- You are always tired or often feel short of breath
- You’ve been advised to undergo surgery, but want to explore alternatives
- You’ve had stents/bypass, but are experiencing symptoms anyway
- You have more than one blockage or poor pumping
- You’re not a candidate or afraid of going the surgical route
Who Should Avoid EECP?
Although it is safe for the majority of patients, EECP may not be recommended if:
- You have severe aortic regurgitation
- You have active blood clots
- You’ve had recent bleeding or aneurysm rupture
- You have uncontrolled arrhythmias
You should always discuss this with a specialist at SAAOL Heartcare Delhi before making any decision.
What is the Role of Lifestyle Modifications in Improving Ejection Fraction
If your lifestyle remains intact, then no therapy — not even EECP—will save you.
Which is why Dr. Bimal Chhajer prescribes the Zero-Oil Diet, yoga, stress reversal, and education. Because nothing else is as powerful as daily discipline.
So here’s what’s on our list of EF-boosts:
- Zero oil cooking (yes, absolutely zero!)
- Low-salt, high-fiber diet
- Practice in Breathing + Walking plans
- Daily health education videos
- Review your medications
FAQs
- Can EF improve without surgery?
Yes! With EECP, diet, and medical management, many patients have enhanced EF by 5–15% over an interval of 3–6 months.
- Is EECP safe for heart failure?
Yes. It’s FDA-approved and safe for monitored use in low EF patients.
- How long does EECP treatment last?
Usually few weeks, comprising 40 sessions. Each session is ~1 hour.
Conclusion
Your heart is not a number. Your life is not a report. And EF is not a sentence of life but a signal. A call to action. But if your EF is 25% or 45%, you still have time to improve, if you do it wisely, early, and constantly.
At SAAOL Heartcare Delhi, we have saved over 6 lakh people who beat the odds, not through a knife, but through science, hard work, and the human will to heal.
Need Help Now?
Schedule your appointment with Dr. Bimal Chhajer’s team. Get assessed for EECP treatment in Delhi/NCR, understand your non-surgical heart disease treatment options, and discover how to avoid bypass surgery while working to reverse heart disease without surgery — one breath, one beat at a time.