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Results The LV ED diameter was larger and LV ejection fraction was smaller in DCM compared to H (61±6 vs 46±4 mm, and 42±5 vs 61±3 %, respectively, both p<0.001). At ED, the “KE of the non-ejecting blood” was higher in DCM compared to H (0.8±0.4 vs 0.2±0.1 mJ, p<0.001), whereas there was no difference in the “KE of the ejecting blood” between the groups (0.9±0.3 vs 0.7±0.2 mJ, NS). At ED, the “KE of the ejecting blood”/”KE of the total ED blood”-ratio was lower in DCM compared to H (p<0.001) (Figure 2). Conclusion Diastolic flow is quantitatively altered in dilated and hypocontractile LVs. At ED, the “KE of the ejecting blood” represented a significantly smaller fraction of the “KE of the total ED blood” in failing LVs compared to normal LVs. Loss of this “energetic preparation” for

Diastolic preparation for left ventricular ejection - A marker of inefficiency of the failing heart