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A 50-year-old member asked:

When should we choose dopamine over dobutamine in treating congestive cardiac failure?

2 doctor answers3 doctors weighed in
Dr. Mark Stern
Cardiology 46 years experience
Low blood pressure: If the blood pressure is low in CHF , Dopamine is better at raising it.
Dr. Joseph Moore
Cardiology 34 years experience
Sometimes use both: Dopamine has more affect on blood pressure (raises it). Dobutamine increases heart (myocardial) contractility so it makes the heart muscle beat stronger and subsequently increases cardiac output. They are often used together for people with heart failure and low bp.

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A 31-year-old member asked:

When do you use dobutamine when treating congestive cardiac failure?

2 doctor answers2 doctors weighed in
Dr. Nassir Azimi
Interventional Cardiology 23 years experience
When usual efforts: Fail. Once diuretics and usual efforts fail, then pressure like Dobutamine are used. Typically this is done in ICU or ccu.

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Last updated Sep 28, 2016

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