Cardiac Cirrhosis: A Consequence of Chronic Heart Failure- A Case Report

This case report discusses the clinical presentation, diagnostic evaluation, and management of a patient diagnosed with cardiac cirrhosis, a condition secondary to chronic congestive heart failure. The report highlights the importance of recognizing the relationship between cardiac and hepatic dysfunction in managing patients with heart failure.Cardiac cirrhosis, also known as congestive hepatopathy, is a condition characterized by liver dysfunction secondary to chronic heart failure. This case report aims to present a comprehensive overview of cardiac cirrhosis, including its etiology, pathophysiology, clinical manifestations, diagnostic criteria, and management strategies. We also discuss a representative case to highlight the challenges in diagnosis and management.

Case study:

A 62yr old male, Mr. J.S. presented to the hospital with a history of worsening fatigue, abdominal distension, and lower extremity edema over the past several months. He reported a history of hypertension and coronary artery disease.Mr. J.S. had a history of chronic heart failure, with New York Heart Association (NYHA) class III symptoms despite optimal medical therapy. His cardiac medications included beta-blockers, ACE inhibitors, and diuretics. On examination, Mr. J.S. was noted to have jugular venous distension, hepatomegaly, and ascites. Laboratory investigations revealed elevated liver enzymes, hypoalbuminemia, and prolonged prothrombin time. An abdominal ultrasound demonstrated an enlarged liver with signs of chronic congestion.

Conclusion:

In conclusion, cardiac cirrhosis represents a complex interplay between heart failure and liver dysfunction. Early recognition and appropriate management are essential for improving patient outcomes. This case report contributes to the existing literature on cardiac cirrhosis, emphasizing the need for a holistic approach in the care of these patients.