metabolic demands and is usually caused by cardiac pump dysfunction and may

occasionally present with symptoms of a non cardiac disorder such as hepatic

dysfunction. A spectrum of hepatic derangement occur in HF particularly in the setting of

right heart failure (RHF). Passive hepatic congestion due to increased central venous

pressure may cause elevations of liver enzymes and both direct and indirect serum

bilirubin.Heart failure can severely decrease the functional capacity of a patient and

increase mortality risk. It is imperative to diagnose and effectively treat the disease to

prevent recurrent hospitalizations, improve quality of life, and enhance patient outcomes.

Present study was undertaken, mainly to emphasize the importance of early identification

of liver serum biochemical markers in heart failure patients. Early and adequate treatment

of the underlying cause of heart failure reverts liver function derangement to normal and

prevents permanent liver damage.