Inclusion Criteria:  - Patients of ACLF (APASL criteria).  Exclusion Criteria:  Age < 18 and > 70 years moderate to severe ascites Portal Vein Thrombosis Hepatocellular carcinoma space occupying lesion liver heart failure biliary obstruction prior variceal endotherapy or ongoing beta blocker treatment for varices pregnancy ICD / pacemaker ongoing treatment for HBV HCV or ended within 3 months No consent.