Sympathomimetics · Pharmacology

Which sympathomimetic is preferred for the management of cardiogenic shock due to its ability to increase contractility (inotropy) with relatively less effect on heart rate (chronotropy)?

  1. Isoproterenol
  2. Dobutamine
  3. Phenylephrine
  4. Norepinephrine
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Correct answer: Dobutamine

Dobutamine is a synthetic catecholamine that acts primarily as a Beta-1 agonist. It is favored in heart failure and cardiogenic shock because it significantly increases myocardial contractility while causing less tachycardia and peripheral resistance changes compared to other inotropes.

Difficulty: Medium Question 5 of 20

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