Markedly increased serum aspartate aminotransferase activity in congestive heart failure.

Abstract:

:Congestive heart failure usually features a mild to moderate increase in aspartate aminotransferase (AST) activity. A marked increase in AST may occur rarely and is usually preceded by prolonged shock or hypotensive episodes and is accompanied by hyperbilirubinemia. I report two patients with congestive heart failure in whom the AST activity was greater than 8000 U/L. No prior episodes of shock or hypotension occurred in these patients and the accompanying increase in bilirubin was slight. In both cases, the enzyme activity decreased sharply with improvement in the patients' circulatory status. Recognition of this entity is important to distinguish it from viral or drug-induced hepatitis.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Nanji AA

doi

10.1016/s0009-9120(83)90366-1

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

76-8

issue

2

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(83)90366-1

journal_volume

16

pub_type

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