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The recognition that distinctive pathophysiologies are involved in the three types of cardiomyopathy and that the clinical and laboratory findings of each type are unique has provided new directions in treatment. Part 1 of this two-part article presents an overview of cardiomyopathy and describes the features, diagnosis, and treatment of dilated (congestive) cardiomyopathy. Part 2, beginning on page 95, continues with a discussion of hypertrophic and restrictive/obliterative cardiomyopathies.