Congestive hepatopathy - Definition

March 2017


Definition


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.

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