The present invention provides methods, systems and devices that reduce dyskinesis and hypokinesis. The contoured heart assist device of the present invention includes a selectively inflatable end-systolic heart shaped bladder with one or more contoured supports configured to surround at least a portion of the heart and provide curvatures similar to the proper shape of the heart when the device is pressurized and one or more fluid connections in communication with the selectively inflatable end-systolic heart shaped bladder for pressurization and depressurization.