GPT and heart failure: The condition commonly presents in middle-aged female patients; the clinical manifestations include arrhythmias, heart failure, hyperpigmentation, hypothyroidism, diabetes, hepatomegaly, and some biochemical alterations such as mild abnormalities in the liver profile, which include aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), bilirubin, and albumin determinations [12].