Patients with cardiomyopathy have deterioration of heart muscle function for various reasons. It can be classified into specific types including dilated, hypertrophic, restrictive, and others. Dilated cardiomyopathy involves large heart cavity and impaired systolic function. Symptoms include fatigue, edema and heart sounds. Management focuses on improving function and preventing arrhythmias through medications, devices like ICD, and potentially transplantation. Anesthetic management for surgery is high risk due to minimal cardiac reserve, so meticulous preparation including fluid management, electrolytes, and device handling is critical.