Ten patients were seen with cardiomyopathy in a period of two years. This shows that cardiomyopathy is not uncommon particularly when account is taken of the fact that they were seen in a general medical unit and not in a department of cardiology Most interesting are the two young men who were asymptomatic and were detected on routine chest X-rays which revealed cardiomegaly. As expected shortness of breath was the commonest symptom being present in just over half the patients. Nearly all of them showed a prominent left, ventricular impulse and the presence of a third heart sound. All except one showed an enlarged heart on normal X-ray of the chest and T wave changes were seen in eight of the ten. The most important investigation of course, was echo-cardiography. The main changes were in the left ventricle and the inter-ventricular septum. A more detailed and valid analysis is not possible with these few cases as it requires a large number of patients.