Liver Abnormalities in Cardiac Diseases and Heart Failure

作者: Alicia Alvarez , Debabrata Mukherjee

DOI: 10.1055/S-0031-1284434

关键词: PathologyIschemic hepatitisShock (circulatory)Cardiac outputInternal medicineHeart failureMedicinePassive CongestionDecreased cardiac outputCardiologyPathophysiologyPerfusion

摘要: Heart failure (HF) is characterized by the inability of systemic perfusion to meet body's metabolic demands and usually caused cardiac pump dysfunction may occasionally present with symptoms a noncardiac disorder such as hepatic dysfunction. The primary pathophysiology involved in from HF either passive congestion increased filling pressures or low output consequences impaired perfusion. Passive due central venous pressure cause elevations liver enzymes both direct indirect serum bilirubin. Impaired decreased be associated acute hepatocellular necrosis marked aminotransferases. Cardiogenic ischemic hepatitis (“shock liver”) ensue following an episode profound hypotension patients HF. We discuss identification abnormalities that are commonly seen

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