Patients with chronic liver disease and signs of decompensation should be assessed for transplantation before they become critically ill.
When liver decompensation occurs and if the patient is a suitable candidate, liver transplantation is the only treatment that extends life.
It is hoped that this strategy will prevent the problems associated with long-term volume overload and cardiac decompensation .
We excluded patients with hepatitis B, HIV infection, or hepatic decompensation .
The major contributing factor for heart failure decompensation was medication lapses.
‘This is a significant finding from a large population of patients and will certainly aid in the development of guidelines for treating patients with acute decompensated heart failure,’ said Abraham.
Although it improves short-term symptoms, nesiritide may increase the risk of death at 30 days when used in the treatment of acute decompensated heart failure.
A complete diagnosis should include the cause of the liver disease and determine if the patient has decompensated liver disease.
From 30 to 50 percent of chronically infected patients develop cirrhosis, and 5 to 15 percent develop decompensated cirrhosis or hepatoma.
The single most expensive diagnosis in the U.S. health care system, acutely decompensated heart failure, represents 1 million primary and 2.5 million secondary hospital admissions annually.