This protocol covers patients with hypertrophic cardiomyopathy presenting with severe provocable left ventricular outflow tract obstruction who develop hypotension and acute pulmonary oedema and have not responded to fluid administration.
The evidence-based approach in this acute scenario involves beta-blockers as a core component of management — the complete regimen, additional agents, and clinical decision pathway are available in the structured protocol.
Full sequencing, agent selection, and all clinical details are in the protocol below.
DOI: 10.1093/eurheartj/ehad194
Oral or i.v. beta-blockers and vasoconstrictors should be considered in patients with severe provocable LVOTO presenting with hypotension and acute pulmonary oedema who do not respond to fluid administration.
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