Would heart failure with normal ejection fraction show up in an electrocardiogram or an echocardiogram or a stress echocardiogram?

Echo: Heart failure with normal ejection fraction would most commonly be due to some structural or functional abnormality in the heart, it’s valves, or surrounding structures. To start an echo would give the best chance at visualization along with a good physical exam. 3D echo would be even more helpful in some cases if available, and stress echo may be needed to expose certain abnormalities.

Heart failue: An ECG will not tell you the ejection fraction. An echo will show ejection fraction and also how the myocardial muscle is functioning. A stress echo will also show the myocardial ability maintain ejection fraction when stressed. Echo will also pick up dyskinesia or akinetic parts of the Hearst muscle - parts that are not functioning normally.