Use Inotropes for select cases of acute or end-stage heart failure

Do the IV inotropes dobutamine ( Dobutrex, Dobuject ) AND MILRINONE ( Primacor, Milicor ) still have a role in treating heart failure with reduced ejection fraction (HFrEF) ? Yes, but only in a small subset of patients. Both medications increase arrhythmias. And widespread use fell out of favor years ago, due to concerns about increased mortality, especially in pat…