Key result
Clinical presentation and treatment of cirrhotic heart disease and cardiac liver diseases are similar to the management of heart failure and liver cirrhosis of other origins.
Highlights the bidirectional relationship between the heart and liver, noting that clinical presentation and treatment of cirrhotic heart disease and cardiac liver diseases align with standard management of heart failure and liver cirrhosis.
Supports standard HF and cirrhosis protocols in cardiohepatic disease; leaves open dedicated prospective trials.
Interactions between the heart and the liver have been under investigation for many years. Cirrhotic cardiomyopathy characterized by hyperdynamic and hyporeactive circulation has been described in patients with advanced liver disease. Liver disease due to heart failure comprises acute hypoxic hepatitis due to reduced hepatic blood flow and congestive hepatopathy due to increased pressure within hepatic veins. Despite some specific characteristics, clinical presentation and treatment of cirrhotic heart disease and cardiac liver diseases are similar to the management of heart failure and liver cirrhosis of other origin.
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Witczak et al. (2015) conducted a review in Cardiohepatic interactions (cirrhotic cardiomyopathy, hypoxic hepatitis, congestive hepatopathy). Clinical presentation and treatment of cirrhotic heart disease and cardiac liver diseases are similar to the management of heart failure and liver cirrhosis of other origins.
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