January 12, 1976Acta Medica Scandinavica

Extreme Elevation of Transaminase Levels in Acute Heart Disease—a Problem in Differential Diagnosis?

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Population

5 patients admitted to the Coronary Care Unit at the Department of Medicine, Serafimerlasarettet, who…

Design

Case_series

Authors

BBB. BlothKarolinska Institutet UFUlf dé FairéPreventive Cardiology OEOlof EdhagPioneer (United States)

Discussion

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Implication

Extreme transaminase rises in acute cardiac disease may signal ischemic hepatitis from RV failure plus hypotension; case reports leave open prospective validation.

Structured PICO

Population

5 patients admitted to the Coronary Care Unit at the Department of Medicine, Serafimerlasarettet, who developed extreme elevation of transaminase levels in acute heart disease. All had manifest right ventricular failure on admission and four had hypotension.

Outcome

Source of extreme elevation of transaminase levels

Extreme transaminase elevation in acute heart disease is typically a result of ischemic liver injury (central necrosis) driven by right ventricular failure and hypotension, rather than primary hepatic disease.

Cite This Study

Bloth et al. (1976) studied this question.

synapsesocial.com/papers/6a90134d73c1f5e62dc9155f https://doi.org/10.1111/j.0954-6820.1976.tb08232.x

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Implication

Extreme transaminase rises in acute cardiac disease may signal ischemic hepatitis from RV failure plus hypotension; case reports leave open prospective validation.

Extreme Elevation of Transaminase Levels in Acute Heart Disease—a Problem in Differential Diagnosis?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Extreme Elevation of Transaminase Levels in Acute Heart Disease—a Problem in Differential Diagnosis?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider