Cardiac affection during liver disease is accompanied with hazard of acute cardiac failure and very poor prognosis after liver transplantation. We hope to evaluate the connection between the severity of heart impairment and liver disease. Hundreds of patients and Hundreds of control persons had done Trans thoracic echocardiography, TDI and ST measures. We evaluate the relation between Trans thoracic echocardiographic values and MELD and Child scores. Values of systolic function (s wave, p < 0.001) and GLS (p < 0.001) in addiction to values of diastolic function were observantly more reduced in hepatic patients in comparison to control persons. There were no otherness between the different sets in the using scores regarding both systolic diastolic functions, the LA size interconnected to both Child (p = 0.11, r = 0.25) and MELD scores (p = 0.12, r = 0.23). LVEF was largely decreased in no redeemed patients in comparison to redeemed patients (p = 0.11). there is no correlation between degree of hepatic disease and heart impairment. So, a echo study should be done in hepatic patients prior interventional and surgical steps.