Resumen

BAIALARDO¹, Antonela Guadalupe. Cardiohepatic syndrome. What should we know as cardiologist?. Insuf. card. [online]. 2015, vol.10, n.2, pp.66-77. ISSN 1852-3862.

As heart failure (HF) progresses toward the advanced stage, other systems also deteriorate due to an increase in the inability to respond to the metabolic requirements of organs and skeletal muscle. While much attention has focused on the study of the relationship between HF and renal failure, it has been poorly described the impact of advanced HF and liver dysfunction, this being a manifestation of comorbidity, mainly in patients who where admitted for decompensated HF. The presence of these symptoms can divert early diagnosis, instead of considering the primary cardiac pathology, leading to a delay in the onset of therapeutic interventions that improve the prognosis and survival. In this update, a review of contemporary information on histopathological, biochemical and clinical findings of acute and chronic conditions that make the cardiohepatic syndrome and its prognostic implication is performed, in order to establish clear diagnostic tools early and accurate of this entity. Finally, potential strategies to investigate, manage and treat cardiohepatic interactions in patients with advanced HF are discussed.

Palabras clave : Heart failure; Cardiac hepatopathy; Ischemic hepatitis; Acute liver failure; Hypoxic hepatitis.

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