How do you approach the decision to use terlipressin in a patient with hepatorenal syndrome type 1, AKI, and a history of heart failure given its potential cardiovascular effects?

Would you use terlipressin in a patient with hepatorenal syndrome type 1 and a history of heart failure given its potential cardiovascular effects?

• I would use terlipressin if the patient has compensated heart failure without recent exacerbations
• I would use terlipressin regardless of heart failure status as long as the patient is not requiring oxygen
• I would avoid terlipressin in this situation and would use midodrine and octreotide instead
• I would use vasopressin instead of terlipressin in this situation
• Other