Anales de Medicina Interna
Print version ISSN 0212-7199
MUNOZ-RODRIGUEZ, J.; TRICAS LERIS, J. M.; ANDREU SOLSONA, V. and VILASECA BELLSOLA, J.. Ischemic hepatitis in patients with heart failure. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.1, pp.31-33. ISSN 0212-7199.
Ischemic hepatitis is characterized by a marked and reversible elevation in either the serum alanine or aspartate aminotransferase level in a appropriate clinical setting that could lead to a reduction in hepatic blood flow, mainly in patients with heart failure. To establish the diagnosis other causes of hepatitis, such as virus and drugs, must be previously excluded. Centrilobular necrosis is the main histologic feature. In the present study we describe the three cases of ischemic hepatitis seen in our medical service during a period of one year. Its prevalence was 2.7% among all patients with heart failure admitted in our centre during the same period.
Keywords : Ischemic hepatitis; Heart failure; Prognosis.