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Septic Cardiomyopathy Dobutamine — FRCA Final MCQ

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ModerateIntensive Care MedicineSeptic Cardiomyopathy DobutamineFRCA Final

Septic shock: CO 2.8 L/min (CI 1.5), EF 25% on echo. Diagnosis and first-line inotrope?

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Correct answer: E — Septic cardiomyopathy — dobutamine

Septic cardiomyopathy (~40-50% of septic shock): biventricular dilatation, reduced EF, typically reversible in 7-10 days. Dobutamine first-line per SSC 2021. Added to noradrenaline, not replacement.

Reference: SSC – 2021 – Inotropes in septic shock