What problems are there with ejection fraction (EF)?

Ejection fraction is one of the most important parameters in echocardiography and can be used in any patient to gain a lot of knowledge... right? But what about small ventricles, or large ones? What about regional wall motion abnormalities, and how reproducible is ejection fraction to begin with? Watch this video to find the answers to these questions, and more - but be warned, you will not look at ejection fraction with the same eyes ever again.