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Titolo:
Fulminant hepatic failure. Unusual cardiac failure presentation.
Autore:
Ridruejo, E; Laurini, J; Cingolani, O;
Indirizzi:
CEMIC, Dept Med Interna, Secc Clin Med, Buenos Aires, DF, Argentina CEMICBuenos Aires DF Argentina cc Clin Med, Buenos Aires, DF, Argentina CEMIC, Serv Patol, Buenos Aires, DF, Argentina CEMIC Buenos Aires DF Argentina Serv Patol, Buenos Aires, DF, Argentina
Titolo Testata:
MEDICINA-BUENOS AIRES
fascicolo: 4, volume: 60, anno: 2000,
pagine: 491 - 494
SICI:
0025-7680(2000)60:4<491:FHFUCF>2.0.ZU;2-9
Fonte:
ISI
Lingua:
SPA
Soggetto:
ISCHEMIC HEPATITIS; CARDIOMYOPATHY; DISEASE;
Keywords:
heart failure; fulminant liver failure; ischemic liver disease; cardiogenic shock;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Ridruejo, E Las Heras 2900, RA-1425 Buenos Aires, DF, Argentina Las Heras2900 Buenos Aires DF Argentina RA-1425 F, Argentina
Citazione:
E. Ridruejo et al., "Fulminant hepatic failure. Unusual cardiac failure presentation.", MEDICINA, 60(4), 2000, pp. 491-494

Abstract

Congestive liver disease can be one of the clinical aspects of chronic heart failure. Fulminant hepatic failure can be a consequence of ischemic liver disease secondary to cardiogenic shock. We report a patient with chronic heart failure who was admitted to our hospital presenting general malaise with abnormal liver function tests, prothrombin time and renal failure. The study of viral and autoimmune liver diseases were negative. She did not consume hepatotoxic drugs. She presented encephalopathy without initial evidence of shock. On the fourth day, she presented clinical deterioration compatible with cardiogenic shock. Laboratory abnormalities were similar to thoseseen in congestive and ischemic liver disease. The patient died 24 hours later. The histology showed congestive and ischemic liver disease. There areseveral reports of chronic liver diseases without a clear etiology, causedby constrictive pericarditis or restrictive myocardiopathy. In this case, the patient presented fulminant hepatic failure without clear evidence of progressive heart failure. We emphasize the importance of cardiac diseases as possible causes of liver diseases without another clear explanation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 10:11:29