Highlights the critical need to recognize LVOT obstruction with systolic anterior motion of the mitral valve in Takotsubo cardiomyopathy, as standard inotropic therapy for cardiogenic shock can be detrimental in this subset of patients.
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Echocardiography to exclude LVOT obstruction is mandatory before inotropes in Takotsubo shock; challenges standard protocols and reinforces phenotype-specific management.
Dorfman et al. (2007) studied this question.
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