How is the muscle pump ejection fraction (MPEF) test performed in the evaluation of venous insufficiency?

Updated: Oct 22, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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The patient is asked to stand on his or her tiptoes 10-20 times or to dorsiflex his or her ankle. The change in a physical parameter that reflects the blood volume in the calf is recorded as the calf muscle is pumped.

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