What Is Cardiac Cirrhosis?
Cardiac cirrhosis, also known as congestive hepatopathy, is liver injury and scarring caused by chronically elevated pressure in the liver's blood vessels due to poor heart function. When the right side of the heart can�t pump effectively, blood backs up into the liver, leading to swelling, impaired blood flow, and over time, 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 reviews your heart history and symptoms, then examines your abdomen for liver enlargement and fluid buildup.
Blood Tests
We check liver enzymes, bilirubin levels, and clotting times to assess liver function and rule out 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)
On rare occasions, a liver biopsy may be performed to confirm the diagnosis or assess inflammation.
Frequently Asked Questions
What is the difference between cardiac cirrhosis and liver cirrhosis?
Cardiac cirrhosis results from chronic heart dysfunction causing liver congestion and scarring. Liver cirrhosis usually stems from viral hepatitis, alcohol use, or metabolic diseases.
Can cardiac cirrhosis go away?
In early stages, improving heart function can reduce liver congestion and symptoms. Once significant scarring develops, it can�t be reversed but can be managed to prevent progression.
When should I see a doctor in Houston?
If you notice abdominal fullness, leg or ankle swelling, fatigue, or have known heart issues, schedule an evaluation with Dr. Chadha promptly.
What does �cardiac cirrhosis ICD-10� mean?
ICD-10 code K76.1 identifies congestive hepatopathy (cardiac cirrhosis) in medical records. It's often used alongside I50.x codes for heart failure.
Can this cause swelling in my legs?
Yes. Increased pressure in the liver and veins can lead to fluid buildup in the legs and abdomen.
Can I take vitamins or supplements?
Always consult Dr. Chadha before starting any. Some supplements may harm your liver or interact with medications.
Do I need a liver biopsy?
Most patients avoid biopsy. Blood tests and imaging (ultrasound, elastography) usually provide enough information.
How often do I need checkups?
Follow-up visits are typically every 3�6 months to monitor your heart and liver status and adjust treatment as needed.
Can I still exercise?
Yes. Gentle activities like walking or swimming are encouraged. Dr. Chadha will tailor an exercise plan based on your condition.
Where can I learn more?
Visit the American Liver Foundation at https://liverfoundation.org for reliable information on cardiac cirrhosis and liver health.