Compared with healthy subjects, patients with SH demonstrated longer Tp-e intervals, and higher Tp-e/QT and Tp-e/QTc ratios. TSH levels were positively correlated with Tp-e interval, Tp-e/QT ratio, and Tp-e/QTc ratio.

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Objective: Pulmonary complications are common in patients with liver cirrhosis.Devolopment of pulmonary hypertension (PH) is associated with a poor prognosis in these patients. Pulmonary arterial stiffness (PAS) is considered an early sign of pulmonary vascular remodeling. The aim of this study is to investigate PAS and compare it with right ventricular (RV) functions in patients with cirrhosis who are scheduled for liver transplantation. Methods:The study included 52 cirrhosis patients (mean age 51.01 ± 12.18 years, male gender 76.9%) who were prepared for liver transplantation and 59 age and sex matched (mean age 51.28 ± 13.63 years, male gender 62.7%) healthy individuals.Patients with left ventricular ejection fraction (LVEF) less than 55%, ischemic heart disease, more than mild valvular heart disease, chronic pulmonary disease, congenital heart disease, rheumatic disease, moderate to high echocardiographic PH probability, rhythm or conduction disorders on electrocardiography were excluded from the study. In addition to conventional echocardiographic parameters, PAS value, pulmonary vascular resistance (PVR) and RV ejection efficiency was calculated by the related formulas with transthoracic echocardiography (TTE).Results: Demographic characteristics and cardiovascular risk factors of the groups were similar. PAS, PVR, and sPAP values were found to be significantly higher in the

A 44-year-old female admitted to cardiology clinic with complaints of heartburn and chest pain. Past medical history displays hypertension, and she is on medical therapy. Physical examination, laboratory, electrocardiography, echocardiography and spirometer were normal. Chest roentgenogram demonstrated suspicious opacification over aortic arch (Fig. 1A). CT showed; double aortic arch in the form of complete vascular ring around trachea and esophagus. Both the trachea and esophagus were compressed by vascular ring (Video 1, Fig. 1B-E). Esophagogram shows extrinsic impression on left-side of barium-filled esophagus from left-sided arch (Fig. 1F). Therapeutic strategy balanced between risks of cardiovascular abnormality and risks due to surgery. Surgery wasn't performed due to; patient refused operation, vascular ring isn't associated with serious complications and good general condition and prognosis of patient. Hereby conservative approach adopted.Aortic vascular anomalies should be considered in patients with respiratory distress, nutritional problems, and pulmonary infections. Also, identification is important for prevention of chronic and irreversible complications.Mutlu Çağan Sümerkan, Füsun Helvacı, Muzaffer Başak* Departments of Cardiology and *Radiology, Şişli Hamidiye Etfal Education and Research Hospital; İstanbul-Turkey Video 1. 3-dimensional CT video demonstrated double aortic arch. Right arch is higher than left and both arches had similar diameters. Left subclavian and common carotid arteries originated individually from the left aortic arch, moreover right subclavian and common carotid arteries originated individually from right aortic arch

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