Cardiac failure has a negative impact on the function of all parenchymatous organs, based both on the low organ perfusion in the left-sided forward failure and on the venous congestion in the right-sided backward failure. Current studies dealing with the cardiac hepatopathy focus not only on the liver enzyme changes, but also analyse its clinical and prognostic relevance. The aim of the article is to provide the comprehensive and contemporary view on liver dysfunction in heart failure patients.