Congestive hepatopathy is the result of the impact of heart failure
on the liver
. In the development of right heart failure
, fluid accumulates by venous stasis occurring before the right heart, in the inferior vena cava (the main vein
of the heart that brings a great deal of blood
from the organs to the heart) and in the liver. It increases in volume, this is called hepatomegaly
, is sensitive to abdominal palpation, and can be painful during exercise. A clinical exam, mainly looking for a Hepatojugular reflux, which is a visible enlargement of the jugular during palpation of the liver, is necessary. When in doubt, a liver ultrasound
may be performed. Treatment of heart failure can limit the development of the disease.