Within 24 h after onset of cardial symptoms, the patient also presented serological signs of a pronounced non-cholestatic hepatitis [AST 5478 U/l, alanine aminotransferase (ALT) 4011 U/l, glutamate dehydrogenase (GLDH) 1796 U/l, GGT 132 U/l, bilirubin 1.3 mg/dl], which in combination with marked elevation of lactate dehydrogenase (LDH) levels (5391 U/l) were interpreted as an ischemic-type hepatitis following preceded hypoperfusion and hemodynamic compromise. This evidence concerns the gene GPT and hepatitis A virus infection.