Vasopressin Vs. Epi

One ACLS instructor that I spoke with preferred vasopressin first because of its peripheral effects. He explained that a heart in AMI is already oxygen starved and that epinephrine only made it work harder. Seems logical to me.

I would hope that Epi would make a heart work harder in an AMI! Why would you give Epi or Vaso to a pt with an AMI?
 
That would be nice. I have never been found of Amiodarone any ways!
 
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