Key result
Aggressive IV diuresis and guideline-directed therapy improve cardiohepatic syndrome and ascites in a HFpEF case.
Why the study?
Congestive hepatopathy is an underrecognized manifestation of elevated cardiac filling pressures and systemic venous congestion in heart failure.
Population
A 48-year-old male with recently diagnosed HFpEF presenting with progressive dyspnea and systemic venous congestion
Design
Case report
Authors
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Alerts clinicians to hepatic congestion in advanced HF with elevated pressures; extends multiorgan impact beyond cardiorenal effects.
Case Report (n=1)
Preserved systolic function does not exclude severe extracardiac congestion, and recognizing congestive hepatopathy can prevent unnecessary hepatobiliary evaluation.
Masi et al. (2026) conducted a case report in Acute decompensated heart failure / Cardiohepatic syndrome (n=1). Intravenous diuresis and guideline-directed therapy was evaluated on Clinical improvement. Aggressive intravenous diuresis and guideline-directed therapy led to clinical improvement in a 48-year-old male presenting with cardiohepatic syndrome and large-volume ascites due to HFpEF.
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