Choice of Inotropic/Vasopressor Therapy
| Cause of hypotension | Choice of therapy |
|---|---|
| Left ventricular failure | Dobutamine or phosphodiesterase inhibitor if systolic BP is >90 mmHg |
| Levosimendan or phosphodiesterase inhibitor | |
| Right ventricular infarction | Dobutamine if systolic BP is 80–90 mmHg |
| Pulmonary embolism | Noradrenaline if systolic BP is <80 mmHg |
| Cardiac tamponade while awaiting pericardiocentesis | Noradrenaline |
| Septic shock | Noradrenaline |
| Dobutamine should be added if cardiac output is low | |
| Anaphylactic shock | Adrenaline |