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Cardiomyopathy is the most common form of heart disease observed in cats and patients present with a wide spectrum of structural and functional cardiac abnormalities. Although several attempts have been made to standardise the classification of the various forms of cardiomyopathy, substantial disagreement still exists among cardiologists since classification criteria are often subjective and are continuously evolving as the aetiology of myocardial disease becomes better understood. This article describes the current classification of cardiomyopathies, as well as the pathophysiology, clinical findings and treatment of the disease in feline patients.