Cardiology💬 Generalcardiogenic-shockSTEMIvasopressors
Cardiogenic shock post-MI — norepinephrine vs dobutamine vs IABP: which to start first?
Prabhu Kvn
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👁 15 views💬 0 answers🕐 1d ago
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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