You need to tell your friend to have her husband see a cardiologist ASAP. When making the appointment tell them that you had a low ejection fraction. That will help you get in quicker. I am a 49 year old, at age 47 nov. of 2006, I had 2 massive heart attacks and clinically died with each one. My ejection fraction is 35-40. Do not worry! I am not trying to scare you. I just want to see a doctor soon. Wish all the best. Bill