🚨🚨Elderly pt with massive hemoptysis due to bronchiectasis
Vitally unstable on 3 inotropes

Bronchial artery embolization done
Pt off inotropes

IR saves lives

Vasopressin & inotropes 💊 - ملخص

Middle age gentle on CRTD; admitted for sepsis; on double inotropes; developed tachycardia;

What do you think❓🤔

@PMcardioBot
#ECG #ecg
#MedTwitter #MedX

🔴 Medical therapy of cardiogenic shock: Contemporary use of inotropes and vasopressors #2024Review

onlinelibrary.wiley.com/doi/abs/10.100…
#cardiology #CardioTwitter #CardioEd

🔴 A Guide to the Use of Vasopressors and Inotropes for Patients in Shock #2024Review
journals.sagepub.com/doi/10.1177/08…
#CardioEd #Cardiology #CardioTwitter #cardiovascular #FOAMed #MedTwitter #medtwitter #CardioTwitter #paramedic #MedX #meded #cardiotwiteros #cardiotwitter #MedEd

🔴 Medical therapy of cardiogenic shock: Contemporary use of inotropes & vasopressors #2024review

onlinelibrary.wiley.com/doi/10.1002/ej…
#cardioagudos #CardiogenicShock #AHF #HF #CardioEd #medtwitter #MedEd #FOAMed #Cardiology #cardiotwitter #MedStudentTwitter #medical #medicine

🔸 Vasopressors and Inotropes
studypk.com/nclex-pharmaco…

☑️inotropes are agents that increase myocardial contractility (inotropy)

☑️vasopressors are agents that cause vasoconstriction leading to increased systemic and/or pulmonary vascular resistance

⚠️ New drugs, new targets ⚠️ which ones will be the 'new kids on the block'? #HeartFailure2024 #HFA_ESC

➡️ anti-obesity agents
➡️ anti-inflammatory agents
➡️ vasopressors
➡️ antifibrotic agents
➡️ inotropes

Captivating question at cardiogenic shock session #HeartFailure2024
are SBP/MAP target enough to adequately tailor pressors/inotropes?
PP and DBP are also relevant, as suggested by Frederik H. Verbrugge
Meaningful discussion and great panel of experts in the field! #HFA_ESC

Beta blockers for obstructive HCM? Negative inotropes (beta blockers, calcium channel blockers, and disopyramide) have been used for obstructive HCM for decades. This small trial however is the first randomized clinical trial to demonstrate its effect. TEMPO Trial, JACC 2021 ♥️

#echofirst 👀an intraoperative #3DTEE of a huge clot in LV 🫀in a young patient with past history of myocardial infarction👉removed in MIC approach ⤵️ #EACVI #EuroEcho2024 CPB-weaning without inotropes👌

vasopressors and inotropes

Hemodynamics of Common Inotropes/Vasopressors

Myosin inhibitors for obstructive HCM? Negative inotropes are standard of care, but at times fail. This trial showed mavacamten (an actin-myosin binding inhibitor) to reduce outflow tract gradient and further improve symptoms. EXPLORER-HCM Trial, NEJM 2020 ♥️

Quite an adventure last night doing Rescue PCI for 66/M/2hrs post tenecteplase failure(outside hosp)+1 V.Tach x DC shock,timely PCI with 4x 20 mm stent.Multiple inotropes got tapered off immediately post stenting.All izz well⚡️💯 #CardioTwitter #MedTwitter #cathlab #adventure

Knowing single access transcaval is helpful. Pt from OSH with hostile iliofemoral system, occluded RCA, NSTEMI and stage B shock. He was stabilized with inotropes/pressors and transferred for complex PCI with IVL left main w/ Khalil Ibrahim Pedro Villablanca MD, MSc, FACC, FSCAI UIC Cardio Fellows @abiomed

1/6: Our new study (SWEDEHEART registry) and data from the INTERTAK registry show the risks of using inotropes in people with Takotsubo syndrome (TTS). Catecholamines are crucial in TTS pathology.
More info:
DOI: 10.1002/ehf2.14713;
DOI: 10.1056/NEJMc1512595

Myosin inhibitors for HCM? Negative inotropes are standard of care for obstructive HCM. If medical therapy fails, surgical myomectomy can relieve symptoms. This trial showed mavacamten (a novel actin-myosin binding inhibitor) to reduce surgical need. VALOR-HCM Trial, JACC 2022 ♥️

What is your diagnosis?
64YF underwent abdominal surgery and went into cardiogenic shock. she was started on inotropes with further deterioration in hemodynamics seen. Referred for angio; ascending aortic pressure is shown and a 126mm gradient was detected on echocardiogram.

📌Medical therapy of cardiogenic shock: Contemporary use of #inotropes & #vasopressors 💉

#review #cardioagudos #CardiogenicShock #AHF #HF