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- Title
UNEXPECTED MASSIVE RISE OF HEPATIC ENZYMES IN A CASE OF HEART FAILURE.
- Authors
Adina-Elena, Ursache; Narcis-Florin, Ungureanu; Elena, Velescu Beatrice; Diana-Daniela, Zdroba; Oana-Roxana, Oprea
- Abstract
Background: Congestive heart failure (CHF) is a chronic progressive condition that affects the pumping power of the heart muscles. While heart-related diseases can lead to CHF, there are other seemingly unrelated conditions that may increase the risk as well. These includes diabetes, thyroid disease, severe infections and allergic reactions. Objective: Our objective is to perform a differential diagnosis between a cardiac and a hepatic cause considering enzymes' rise, in a patient with heart failure with no previous hepatic illness. Material and methods: This case report presents a 77-year old woman known with: third degree atrioventricular block, cardiac insufficiency NYHA IV, diabetes and transfemoral amputation, who presented a cardiac allure of 20 when admitted to UPU, SCJU Targu Mures. In order to identify the current condition of the patient, some biochemical tests were also performed: hepatic enzymes (AST, ALT), cardiac-muscle enzymes (CK, CK-MB), BUN levels, potassium and bilirubin. Results: The results showed AST and ALT levels exceeding nearly 150 times the normal in the first 6 hours from admission and reaching almost 300 times the normal in the next 5 hours. Also CK and CK-MB followed the same evolution, suggesting the presence of an acute cardiac event. Furthermore, the levels of potassium and BUN were raised, showing a compromised kidney function, while bilirubin values remained in the normal range. Conclusions: Biochemical tests were essential to confirm the diagnosis: heart failure with hepatic and renal failure, suggested by the substantial growth of cardiac and hepatic enzymes, high levels of BUN and potassium and normal levels of bilirubin with no jaundice.
- Subjects
UNIVERSAL Postal Union; HEART failure; CONGESTIVE heart failure; ENZYMES; MYOCARDIUM; LIVER failure; HEART failure patients
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p96
- ISSN
2068-3324
- Publication type
Article