Case Report

Sorafenib-Associated Heart Failure Complicated by Cardiogenic Shock after Treatment of Advanced Stage Hepatocellular Carcinoma: A Clinical Case Discussion

Table 2

Admission physical exam and notable labs.

Physical examVital signsBP 169/79 mmHg, HR 129 bpm
CardiovascularIrregularly irregular rhythm, tachycardic,
JVP 15 cm H2O with head of bed at 30 degrees
LungsSymmetric chest rise with bibasilar rales
Extremities3+ lower extremity pitting edema to the mid-shins bilaterally

Patient resultNormal

Laboratory resultsSodium139135–145 mEq/L
Potassium43.6–5.0 mEq/L
BUN217–21 mg/dL
Creatinine1.48<1 mg/dL
Magnesium1.61.4–1.8 mEq/L
BNP3298<100 pg/mL
Troponin I0.05<0.03
AST955–35 U/L
ALT607–56 U/L
Alkaline phosphatase23438–126 U/L
Total bilirubin4.20.2–1.3 mg/dL
Procalcitonin+Undetectable