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Liver complications in patients with congestive heart failure.

CG Individuals with cardiovascular disease, such as congestive heart failure (CHF), are often obese. They may also have nonalcoholic steatohepatitis, which may be related to a history of obesity as well as insulin-dependent diabetes, which also are risk factors for cardiovascular disease. Other causes of comorbid liver disease and CHF include any other diseases or conditions that might reduce the liver reserve, such as viral hepatitis or alcohol abuse. Finally, cirrhosis or diseases such as hepatic venous thrombosis (eg, Budd-Chiari syndrome) can make the liver more susceptible to ischemia—with reduced cardiac output in CHF—because the hepatic blood flow is reduced. Multiple comorbid liver diseases, thus, can exacerbate CHF.