RT Book, Section
A1 Friedman, Lawrence S.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193152642
T1 The Liver in Heart Failure
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193152642
RD 2024/04/19
AB Ischemic  hepatitis,  also  called  ischemic  hepatopathy,  hypoxic  hepatitis,  shock  liver,  or  acute  cardiogenic  liver  injury,  may  affect  2.5  of  every  100  patients  admitted  to  an  ICU  and  results  from  an  acute  fall  in  cardiac  output  due  to  acute  MI,  arrhythmia,  or  septic  or  hemorrhagic  shock,  usually  in  a  patient  with  passive  congestion  of  the  liver.  Rare  cases  have  occurred  in  patients  with  COVID-19.  Clinical  hypotension  may  be  absent  (or  unwitnessed).  In  some  cases,  the  precipitating  event  is  arterial  hypoxemia  due  to  respiratory  failure,  sleep  apnea,  severe  anemia,  heat  stroke,  carbon  monoxide  poisoning,  cocaine  use,  or  bacterial  endocarditis.  More  than  one  precipitant  is  common.  Statin  therapy  prior  to  admission  may  protect  against  ischemic  hepatitis.