Cardiomyopathy is a group of diseases that affect the heart muscle and cause it to enlarge and stiffen. It is often hereditary. The main types are dilated, hypertrophic, restrictive, and arrhythmogenic cardiomyopathy. Symptoms of heart failure often occur as the condition worsens and weakens the heart. Treatment depends on severity but may include medications, surgery like implantable devices or transplant, or lifestyle changes. Family history and other conditions increasing risk. Diagnosis involves medical history, exams, and tests like ECG, echocardiogram, or stress test.