Size of the problemCardiomyopathies constitute a huge burden to both communities and health systems in Africa. Together with rheumatic heart disease, tuberculous pericarditis, systemic hypertension and its complications, cardiomyopathies are the major causes of heart disease in black African populations, causing great morbidity and mortality in young and economically active people (6,7) and being responsible for more than 20% of all admissions for cardiovascular diseases in both children and adults.EMF, the most common cardiomyopathy in African children and adolescents, shows great geographic variation with areas of higher incidence being the tropical regions of East, Central and West of the continent, (9) where it accounts for up to 20% of cases of heart failure. (5,7,10)