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Cardiogenic shock post-MI β€” norepinephrine vs dobutamine vs IABP: which to start first?

Prabhu Kvn
Prabhu Kvn
Other
πŸ‘ 25 viewsπŸ’¬ 0 answersπŸ• Apr 14, 2026
⚠For peer discussion only β€” not a substitute for clinical judgment. Always verify with authoritative sources.

65M post-anterior STEMI with primary PCI done. Now in ICU with BP 82/50, HR 118, lactate 4.5, cold extremities, urine output 10ml/hr. Echo shows EF 20%, no mechanical complication. On low-dose dopamine currently. Should we switch to norepinephrine? Add dobutamine? Or go straight to IABP or Impella? What does the CULPRIT-SHOCK trial teach us about culprit-only vs multivessel PCI in this scenario?

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πŸ‘ Views25
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πŸ• Asked Apr 14, 2026
Asked by
Prabhu Kvn
Prabhu Kvn
Other
⭐ 48 reputation
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