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Ejection fraction can improve in some people on proper medical therapy. While exercise doesn't result in the significant improvement in heart function (in most studies) that we'd hope for, it can improve quality of life and functional capacity. I'd talk with the cardiologist about an exercise prescription and whether cardiac rehabilitation could be a possibility.
Ejection fraction refers to the relative amount of blood that is pumped out of both the right and left ventricles with each contraction of the heart. There are a number of ways to increase ejection fraction, with regular exercise and a heart-healthy diet being the safest and most effective. Like any machine, there are times when the heart is functioning efficiently and healthily. Other times, different factors may cause the heart to function improperly.