Liver Function as Determined by Bromsulphalein in Seventy-Six Cases

Liver function in congestive heart failure

“…All but two patients (15,19) of the improved group had some increase in serum bilirubin. This varied from a slight increase to dinical jaundice.…”

“…per cent. Of the three patients (6,14,19) who were within normal limits one died (6). This patient had been in almost constant heart failure for nine months, had only slight edema of the ankles, moderate enlargement of the liver, but marked pulmonary stasis and intense dyspnoea.…”

“…Piersol and Rothman (18) in a group of patients having congestive heart failure with ascites found the urobilinogen constantly increased, but the bromsulphalein test "not of any great importance." Serby and Bloch (19) studied nine patients with heart disease, five of whom had an enlarged liver, but in only one was there a retention of bromsulphalein. Epstein, Delprat and Kerr (20) studied the elimination of rose bengal in seven cases of congestive heart failure.…”

Liver Function in Congestive Heart Failure

“…3 c). Every patient except two (12,19) This represents a fall of 75 per cent. If instead we take the rise of sugar in each curve we get an ayerage rise of 35.6 mgm.…”

“…per cent. Of the three patients (6, 14, 19) who were within normal limits one died (6). This patient had been in almost constant heart failure for nine months, had only slight edema of the ankles, moderate enlargement of the liver, but marked pulmonary stasis and intense dyspnoea.…”