June 1, 1990Journal of Clinical Gastroenterology

Cardiomyopathy Unrecognized as a Cause of Hepatic Failure

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Population

2 patients presenting with hepatic failure and hepatomegaly, lacking typical symptoms of congestive heart…

Design

Case_series

Authors

BHBrenda J. HoffmanWorkers Compensation Board of Alberta MPMarion B. PateMedical University of South Carolina WMWilliam H. MarshQueen Mary University of London

Discussion

Member takes

Implication

May shorten diagnostic workup for unexplained liver failure by considering heart failure; case reports leave open broader validation.

Structured PICO

Population

2 patients presenting with hepatic failure and hepatomegaly, lacking typical symptoms of congestive heart failure (no dyspnea, orthopnea, or neck venous distension), subsequently diagnosed with cardiomyopathy (global hypokinesis, low ejection fraction).

Intervention

Heart failure treatment

Outcome

Improvement in hepatic parameters

Cardiomyopathy can present atypically as isolated hepatic failure without classic heart failure symptoms, and recognizing this can prevent prolonged diagnostic evaluations.

Cite This Study

Hoffman et al. (1990) studied this question.

synapsesocial.com/papers/6a7d1acbec6dad7f5aaa0a7e https://doi.org/10.1097/00004836-199006000-00015

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Cardiomyopathy Unrecognized as a Cause of Hepatic Failure

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Cardiomyopathy Unrecognized as a Cause of Hepatic Failure

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider