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Dynamic LV outflow tract causes an inversion of all hemodynamics. Diuresis and inotropes may cause cardiogenic pulmonary edema! Vasoconstrictors and beta-blockers may improve cardiogenic pulmonary edema! Down is up and up is down.Last Update: December 23, 2022. Go to: Continuing Education Activity. Left ventricular outflow tract obstruction (LVOTO) refers to the obstruction of the blood flowing out of the left ventricle. It can occur at the valvular, subvalvular, or supravalvular level.
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