Pediatric cardiomyopathy (CM) is a rare but serious and often life- threatening condition. In children, cardiomyopathy is often a part of multisystem disorder, which requires the attention of multiple subspecialists. Observational epidemiology has a notable success in that it has identified many modifiable exposures apparently increasing or decreasing the diseases risk. This retrospective descriptive study was carried out in the Pediatric Cardiology Clinic, Children's Hospital, Cairo University, to review the files of patients diagnosed with cardiomyopathy during the period from 2003 to 2013. The cases diagnosed with cardiomyopathy during that period were 850 cases. The files of all of these patients were reviewed for the following data: file number, name, age, sex, address, date of diagnosis, frequency of follow up, date of last follow up, presenting symptoms, clinical manifestation, consanguinity, other sibling affected, previous viral infection, history of drug intake, investigation done and treatment. The 850 patient files included 623 cases with DCM, 179 cases with HCM, 35 cases with RCM. Fifty-seven (11.1%) of our patient died and 337(39.6%) with lost follow up more than 5 years. The overall 3 (36 months) and 5 years (60 months) survival rates of cardiomyopathy patients were 88.4% and 85.3% respectively. The overall mean survival time was (113.4 months) with a survival rate of 83.6%.