Left Ventricular Outflow Tract Obstruction (LVOTO); associated with myocardial hypertrophy and systolic anterior motion of the the mitral vale; important to recognise as can contribute to a low output state that gets worse with inotropic support
An elderly man with a history of hypertension is brought into hospital after several days of reduced oral intake. He is hypotensive and your junior doctor wants to start inotropic support for presumed sepsis. An abbreviated bedside echo is performed. What would you suggest as optimal therapy?