PT - JOURNAL ARTICLE AU - Charelle Manning AU - Hameed Rafiee AU - Syed Alam TI - Lessons of the month: Acute liver failure: a case close to the heart AID - 10.7861/clinmed.2020-1062 DP - 2021 Mar 01 TA - Clinical Medicine PG - e234--e236 VI - 21 IP - 2 4099 - http://www.rcpjournals.org/content/21/2/e234.short 4100 - http://www.rcpjournals.org/content/21/2/e234.full SO - Clin Med2021 Mar 01; 21 AB - The differential diagnosis of an acute liver injury is extremely broad and can often change following initial investigations. We describe the case of a 54-year-old woman whose liver function derangement was initially attributed to alcohol excess, but in fact turned out to be cardiac in origin. We describe the underlying mechanisms and features of cardiac-related liver injury, and how the pattern of liver tests alongside appropriate imaging can help obtain the diagnosis.