A patient 65 years old is admitted to the ER for cardiogenic shock, we see on labs ALT 2000 and AST 1500, what is the course of action and differential?

This may be liver shock, which is caused by hypotension, hepatocytes get destroyed and liver enzymes are very very high. it is reversible and self-limited resolves after correcting BP (unless pt has chronic liver disease) If it occurs with CLD --> this may be a cause for liver decompensation.