Uremic cardiomyopathy is responsible for high morbidity and mortality rates among patients with chronic kidney disease (CKD) or end stage renal disease (ESRD) even though the patients on dialysis. Among dialysis patients with left ventricular hypertrophy (LVH) are more than two thirds die from heart failure or sudden cardiac death. Present case is about a case of CKD on dialysis who died due to myocarditis and cardiomyopathy.