Revised: November 19, 2013
Accepted: January 6, 2014
Published online: January 27, 2014
Core tip: Acute and chronic heart failure may lead to acute ischemic hepatitis or chronic congestive hepatopathy. Treatment in these cases should be directed to the primary heart disease. In patients with advanced liver disease, cirrhotic cardiomyopathy may develop including hemodynamic changes, diastolic and systolic dysfunctions, reduced cardiac performance and electrophysiological abnormalities. Cardiac evaluation is important for patients with liver diseases especially before and after liver transplantation. Liver transplantation may lead to improvement of all cardiac changes and reversal of cirrhotic cardiomyopathy. There are systemic diseases that may affect both liver and heart concomitantly including congenital, metabolic, inflammatory diseases and alcoholism.