Acute Heart Failure
Conditions
Keywords
LFTs, AHF
Brief summary
The aim of this study is to evaluate liver function test abnormalities and to identify associated cardiac and non cardiac factors mediating hepatic impairment in acute heart failure patients
Detailed description
Cardiac failure has a negative impact on the function of all parenchymatous organs, based both on the low organ perfusion in the left-sided failure and on the venous congestion in the right-sided failure. The pathophysiology of acute heart failure (AHF) is complex and not fully understood. It has been hypothesized that an episode of acute decompensation affects not only the cardiovascular system itself, but may also deteriorate the function of other organs, c ausing serious clinical consequences. Liver involvement has been mostly described and investigated in patients with chronic HF. Liver enzyme alterations are usually classified as relating predominantly to liver cell necrosis (signified by transaminase elevations) or predominantly to cholestasis (signified by elevated alkaline phosphatase (AP) level).
Interventions
Exercise, Salt and lipid reduction in diet, smoking cessation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients aged 18 yrs or older presenting with AHF
Exclusion criteria
* Congenital heart disease * acute and chronic liver diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Liver function abnormalities in patients with acute heart failure in Sohag University Hospitals | baseline | assessment the LFTs abnormalities and factors mediating hepatic impairment in patients with AHF |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Liver function abnormalities in patients with acute heart failure in Sohag University Hospitals | 1 year | assessment the LFTs abnormalities and factors mediating hepatic impairment in patients with AHF |
Countries
Egypt