Hello - thanks for asking your question.
There are many causes for elevated liver enzymes. I am not aware of diseases that link atrial fibrillation with elevated liver enzymes directly.
Causes can include hepatitis, hemochromatosis, fatty liver (either from alcohol or NASH), autoimmune disorders, or medication side effects.
I would first go over any medications that can cause an elevation in liver enzymes. Tests for hepatitis (using a serum screen), autoimmune disorders (via an ANA level) and hemochromatosis (checking iron and ferritin) would be reasonable. I would also pursue an abdominal ultrasound to evaluate any anatomical abnormality or fatty liver that can raise the liver enzymes.
If they come back negative, I would consider either observation or a liver biopsy. A biopsy is the definitive test, but it is not without its risks. If the enzymes are less than twofold elevated and the rest of the enzymes and tests were all negative, then observation would be reasonable.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Go to the American Liver Foundation website and read about liver diseases like fatty liver and Non-alcoholic Steatohepatitis (NASH). Your liver enzymes were only mildly elevated so you don't have a bad, bad problem.
I don't know of a connection between a-fib and liver disease, especially mild disease. As to why you might have some degree of liver disease: hepatitis past or present would be a common explanation. It's also conceivable there's an auto immune disease responsible both for liver problems and heart problems; but I doubt the former is causally related to the latter. As to fatigue and gynecomastia: each could be due to liver disease. However, each is pretty common, each has many causes, and in the case of gynecomastia the most common causes is "idiopathic," meaning no specific cause. Certain medications, and marijuania can do it. Rarely, so can testicular tumors.