Myocardium of hereditary hypertrophic cardiomyopathic hamsters UM.X7.1 between 60 and 90 days of life shows large clusters of densely packed, actively proliferating cells with a rhabdoid appearance. Immunohistochemical studies showed that most of proliferating cells express, although with variable patterns, muscular markers such as desmin, alpha-sarcomeric actin, myoglobin and alpha/gamma-smooth muscle actin. The simultaneous occurrence of a poorly differentiated appearance, intense proliferating activity and expression of muscular markers seems to indicate that cluster cells may be muscular in origin and that their proliferation can be a fundamental pathophysiological step in the onset of cardiomyopathy. The possibility that myocardial proliferating cells originated from de-differentiated adult cardiomyocytes, which undergo a short cellular proliferation program, or from not fully matured (fetal) cardiomyocytes scattered throughout the myocardium is discussed.