Cardioversion-induced fulminant ischaemic hepatitis.
Ischaemic hepatitis, although infrequent, should be considered as a cause of fulminant hepatitis in patients with congestive heart failure. Ischaemic hepatitis is characterized by a marked rise in transaminases occurring within 24-48 h of circulatory failure. Cardioversion of atrial fibrillation to sinus rhythm is associated with an increase in cardiac output in most patients; however, a transient reduction in cardiac output may occur in more than one-third of patients, and may therefore induce ischaemic hepatitis. This is the first report of fulminant ischaemic hepatitis as a complication of cardioversion of atrial fibrillation.
Moriel
M
M
Department of Cardiology, Shaare Zedek Medical Centre, Jerusalem, Israel. cardio@szmc.org.il
Morali
G
G
Rosenmann
E
E
Shaheen
J
J
Tzivoni
D
D
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy*; D004554:Electric Countershock / Q000009:adverse effects*; D006333:Heart Failure / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008099:Liver / Q000098:blood supply*; D017093:Liver Failure / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D008297:Male