What Is Cardiac Cirrhosis?
Congestive hepatopathy that is also called cardiac cirrhosis is damage and scarring of the liver by the chronic excessively high blood pressure in vessels in the liver through poor heart performance. The inability of the right side of the heart to pump causes blood to accumulate into the liver, which causes the swellings and the inefficiency of the blood flow, which eventually leads to fibrosis.
Common Causes and Risk Factors
- Right-sided heart failure
- Pulmonary hypertension (high blood pressure in the lungs)
- Tricuspid or pulmonary valve disease
- History of heart attack or cardiomyopathy
- Long-term liver congestion from chronic heart conditions
Signs and Symptoms
- Feeling of fullness or tightness in the right upper abdomen
- Swelling in the legs, ankles, or feet (peripheral edema)
- Enlarged, tender liver on physical exam
- Fatigue or decreased exercise tolerance
- Jaundice (yellowing of the skin and eyes) in advanced stages
How Dr. Rishi Diagnoses Cardiac Cirrhosis?
Dr. Rishi uses a step-by-step approach:
Medical History and Physical Exam
He checks your heart history and symptoms then inspects your belly to determine whether you have a swollen liver and fluid retention.
Blood Tests
To determine the functioning of the liver, we test liver enzymes, bilirubin and clotting times to exclude other causes.
Imaging Studies
- Abdominal ultrasound evaluates liver size, texture, and signs of congestion.
- Elastography (FibroScan) measures liver stiffness to detect scarring.
Heart Testing
- Electrocardiogram (EKG) to assess electrical activity.
- Echocardiogram to evaluate heart structure and pumping function.
- Advanced imaging (MRI or CT) if further detail is needed.
Advanced Testing (if needed)
In very infrequent cases, liver biopsy can be used in order to establish the diagnosis or determine inflammation.
Frequently Asked Questions
What is the distinction between cardiac cirrhosis and liver cirrhosis?
Cardiac cirrhosis is disease which is caused by a continuous heart dysfunction leading to liver congestion and scarring. The common causes of liver cirrhosis are viral hepatitis, alcohol consumption, or metabolic diseases.
Is it possible to eliminate cardiac cirrhosis?
At the beginning of the stages, hepatocongestion and symptoms can be minimized with the adjustment of good heart activity. A major scarring takes place once it becomes marked, and once it appears, it cannot be regressed but may be controlled to ensure that it does not deteriorate further.
Is it time to visit a doctor in Houston?
In case of abdominal fullness, swelling of the leg or the ankle, fatigue or when you have known heart problems, get yourself checked with Dr. Chadha as early as possible.
What is cardiac cirrhosis ICD -10?
Congestive hepatopathy (cardiac cirrhosis) is identified in medical records in code 976.1 of the ICD-10 code. It is frequently combined with I50.x codes of heart failure.
Is this the reason my legs get swelled?
Yes. High pressure on the liver and veins may cause the fluid accumulation of the legs and abdomen.
Is it possible to use vitamins or supplements?
Nothing without consulting Dr. Chadha. Several of these supplements can damage your liver, or react with drugs.
Do I need a liver biopsy?
Most patients avoid biopsy. Adequate information is typically given by blood tests and imaging (ultrasound, elastography).
How often do I need checkups?
Frequent visits (usually 3-6 months) are to follow up on the status of heart and liver and provide modifications to treatment as necessary.
Can I still exercise?
Yes. Light forms of exercise such as swimming or walking are promoted. Dr. Chadha will design workouts depending on your state.
Where can I learn more?
Get credible information about cardiac cirrhosis and liver health at the American liver foundation at https://liverfoundation.org.