... are in the normal range, cardiovascular dysfunction is very likely related to vascular dysfunction. In treating myocardial dysfunction, consider the following options, either alone or in combination: ... in combination: low-to-moderate doses of dobutamine and epinephrine, milrinone or levosimendan. In vasoplegia-induced hypotension, use norepinephrine to maintain adequate perfusion pressure. ... dysfunction after cardiac surgery Group recommendations• In case of myocardial dysfunction, consider the following three options either alone or combined:• Among catecholamines, consider low-to-moderate...