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Background: Chronic cardiac disease known as cirrhotic cardiomyopathy dysfunction in cirrhotic patients characterised by altered diastolic relaxation and/or impaired contractile reactivity to stress in the absence of other recognised cardiac diseases.. Aim and objectives: The purpose of the study was to evaluate tissue Doppler the left ventricle's systolic and diastolic characteristics performance in patients with liver cirrhosis. Subjects and methods: Al-Hussien Hospital, Al-Azhar University, did this cross-sectional case-control study, The study included 75 patients with liver cirrhosis and 25 healthy participants. There were four groups created from the study populations: 25 healthy volunteers make up the control group. Patients in Group 1 have Child A liver cirrhosis, while those in Group 2 have Child B cirrhosis. Group 2., Group 3, which consists of patients with Child C liver cirrhosis. Results: A statistically significant higher mean value in patients group compared to control group according to MPI PWD, MPI TDI, MV E/É ratio, DT (ms) and IVRT (ms) with p-value (p |