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Stage 4 liver cirrhosis and CHF

My sister has stage 4 cirrhosis with ascites, edema of the legs and feet, portal hypertension, and probably other complications.  She is now diagnosed with CHF.  She has been hospitalized for over a week now and they have been trying to get her edema under control because she has an arrhythmia in her heart due to the edema in her body.  They cardio-converted her the other day, but the arrhythmia came back again.  I assume they did an evaluation for a liver transplant, but I am not sure.  If she is not eligible for a liver transplant, what would be some reasons other than the continued use of alcohol and cigarettes?  I do believe she was smoking again after her diagnosis of ESLD over 5 yrs. ago.  She may have started drinking again here and there, but I don't think it was a continued usage.  Would they be able to pick up the recent nicotine usage during this recent hospitalization?   She probably would never admit to it.  Or is CHF now considered a co-morbidity that would disqualify her from a transplant?  There are so many conditions now due to the liver failure.  Even kidney problems. She is very weak, and I don't see how she will recover much unless the edema can be more controlled.  We are worried and I think with good reason.  Without a transplant, her quality of life is not going to be there.  
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683231 tn?1467323017
I believe they wont transplant if the patient drinks alcohol. Also as you said there is the issue of the CHF they want the patient to be a good candidate with good odds of surviving the transplant procedure. Can you ask at the transplant facility what their criteria are?

If she  is in liver failure you are looking at more than quality of life issues liver failure and end stage liver disease ESLD is a life threatening condition if she cannot qualify for a liver transplant and has liver failure I am very sorry to say it is a matter of time how much longer she can survive with a failing liver.

What has her medical team said about her prognosis and her eligibility for transplant? I have heard to be eligible she must have abstained from alcohol for at least 6 months in most centers to be considered eligible.

Do you know her MELD score? Most centers require a MELD of at least 15 to be placed on the list and most patients who receive a transplant have a MELD around 30 depending on which transplant center they are registered with.

I am not a medical person and don't know your sister condition the best people to discuss this with is her hepatologist and transplant center team.
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