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What are the preferred inotropes/vasopressors agents for cardiogenic shock in situations with and without LVOT obstruction?

Is there literature to support superiority of levophed over dobutamine, or vice versa?
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Which is your agent of choice - patient BP 90/50 (63) mmHg, HR 105 bpm?

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1 Answer
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Cardiology · Mount Sinai Heart
Answered on

Randomized evidence to support an answer to this question is lacking.

As the question recognizes, "cardiogenic shock" encompasses a diversity of anatomic and hemodynamic substrates of disease. Left ventricular outflow tract obstruction, which may be fixed or dynamic, a baseline feature or acutely ac...

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