Is dopamine contraindicated in acute stage myocardial infection???

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resender

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Hi every one:)
I'm happy to join such a forum
I'm new here
by the way I'm a new resident in hospital
I have a question and I'll be happy if anyone experience help me in it:love:

41 years old female was presenting to us with severe chest pain radiating to back after ECG revealed acute stage MI (ST elevation in 4 contagious chest leads) ; BP: was undetected!!!
so in such cases does dopamine has a role in mangement or it is contraindicated????:confused:
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STEMI with undetectable blood pressure means cardiogenic shock. The patient has to go to the cath lab emergently for emergent L heart cath, and probably balloon pump placement. Pressors are often started in the cath lab. Traditionally dopamine has been a popular one, though other ones can be used. A recent article in NEJM suggested that Levophed might be better than dopamine in cardiogenic shock, but traditionally when I was a resident we were instructed to use Levo for septic shock and dopamine more for cardiogenic shock.
 
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