Cardiac muscle tissue only exists in the heart and contains specialized cells that allow it to contract and relax in a coordinated way. Cardiac muscle cells are connected through intercalated discs which contain gap junctions that allow electrical signals to pass between cells and coordinate contraction. The heart contains three layers - the epicardium, myocardium, and endocardium - with the myocardium containing the cardiac muscle tissue. Diseases like cardiomyopathy can make it harder for the heart to pump blood by causing the cardiac muscles to enlarge, thicken, or become stiff. Regular exercise can help strengthen the cardiac muscles and reduce the risk of developing cardiomyopathy.