• Echocardiography is used to diagnose hypertrophic obstructive cardiomyopathy (HOCM) and Takotsubo cardiomyopathy (TCM). • Hypotension in a patient with TCM should be evaluated for left ventricular outflow tract obstruction (LVOTO). • Management of TCM is challenging in patients with HOCM with severe LVOTO. • Hypotension in LVOTO may paradoxically worsen with standard intravenous inotropes. • Fluid resuscitation, beta-blockers, alpha agonists, and intra-aortic balloon pump are the treatment options in LVOTO.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058765PMC
http://dx.doi.org/10.1016/j.case.2017.09.008DOI Listing

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