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What Causes Liver And Kidney Diseases While Suffering From Stage-4 Heart Failure?

Posted on Fri, 21 Apr 2017

Question: Heart failure - stage 4. Medications started .Recent bloods showed poor liver/ kidney function. Wht can this mean ?

Answered by Dr. Rishu Saxena (7 minutes later)

needs Left ventricilaraassisted device

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rishu Saxena (51 minutes later)

He has a icd machine . But duno how collapsed . Plus liver and kidney readings and abnormal what could be the cause?

Answered by Dr. Rishu Saxena (9 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hi again,
Thanks for asking query again,
As per your query detoriating liver and renal function are suggestive of poor perfusion(blood supply) to these organs.
As EF is just 15% blood supply is severely hampered leading to detoriation of renal function.
Intervention should be done immediately, Medical management is not helping your patient.
Patient is prone to sudden cardiac death.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Rishu Saxena (1 hour later)

Could readings with liver and kidney be out of range due to side effects of the medications ? Or dehydration from restricted fluids?

Answered by Dr. Rishu Saxena (2 minutes later)

Brief Answer:
FOLLOW UP

Detailed Answer:
Hi again,
Most likely not.
Deranged liver and renal parameters at the same time in patient with 15% ef is suggestive of cardiac pathology.
Frankly speaking don't google too much.
Try to understand your patient is detoriating.
Don't go for rare scenarios first rule out common causes.
Its heart in this case.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Rishu Saxena (1 hour later)

U are totally right. But thing is he was in hosp 1 week after the stage 4 diagnosis and all bloods were ok. As soon as mediations started , showed kidney n liver out of range. Could
He be dehydrated ?

Answered by Dr. Rishu Saxena (19 hours later)

Brief Answer:
Follow up answer.

Detailed Answer:
Hi,
Please message to me the lists of medicines he is on.
Some medicines like statins are hepatotoxic while medicines like ramipril should not be given in patients with renal problems and deranged KFT.

Keeping hi dehydrated is our goal.Fluid intake(total soup,curry and any thing which has liquid) hould not be more then one litre in a day otherwise CHF will precitate.
Vert vert strict fluid restriction is to be followed.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Rishu Saxena (9 hours later)

Ok. Il get list. So medication can cause out of range liver and kidney readings ?

Answered by Dr. Rishu Saxena (48 minutes later)

Brief Answer:
Many medicines can affect liver and kidney

Detailed Answer:
Hi again,
Yes of course why not they can. Especially statins, Diuertic's and ace inhibitors
Almost all medicines are metabolised by liver and excreted by kidney.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Rishu Saxena (2 hours later)

Is it bad if meds affect these organs ?

So its nt likely to be deterioration then?

Answered by Dr. Rishu Saxena (10 hours later)

Brief Answer:
follow up

Detailed Answer:
Hi
Only possible explaination to your question is through example-
Suppose Two scenario's are there.

1) Your house would be robbed by thieves,But they promise that if you give them your oraments without resisting they wont touch any one or harm your family.

2)Your house will be attacked by looters.They have history of looting as well as causing physical harm to person and family.

If you have to make a choose to choose one out of two,Most likely you will choose the first one.

In the same way in a person with grade 4 CCF symtoms with EF 15%,Medicines may cause some side effect but if patient would die after 1 year on medicines without them he could crash in few days or hours.
Prons of therapy-Chances of life increased.
Cons of therapy-Yes off course no side effect of medicine but he would have cardiac arrest in two weeks if EF is 15%,

Thanks

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Above answer was peer-reviewed by : Dr. Remy Koshy