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European Journal of Heart Failure 2004 6(5):561-565; doi:10.1016/j.ejheart.2003.12.008
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© 2004 European Society of Cardiology

Acute hypoxic hepatitis (‘liver shock’): still a frequently overlooked cardiological diagnosis

Caroline Denisa, Caroline de Kerguennecb, Jacques Bernuaub, Florence Beauvaisa and Alain Cohen Solala,*

a Service de Cardiology, Hôpital Beaujon AP-HP, 100 boulevard du Général Leclerc, 92110, Clichy, France
b Service de Hepatology, Hôpital Beaujon AP-HP, 100 boulevard du Général Leclerc, 92110, Clichy, France

* Corresponding author. Tel.: +33-1-408-75785; Fax: +33-1-40870838. E-mail address: alain.cohen-solal{at}bjn.ap-hop-paris.fr


  Abstract

The diagnosis of acute hypoxic hepatitis remains problematic. We describe a series of 14 patients who were initially hospitalized in an hepatic care unit with a diagnosis of fulminant hepatitis, and were subsequently found to have acute hypoxic hepatitis (‘liver shock’) secondary to heart failure. A diagnostic algorithm is proposed.

Key Words: Acute hypoxic hepatitis • Heart failure

Received January 16, 2003; Revised September 20, 2003; Accepted December 12, 2003


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