LVOTO due to SAM on POCUS Echocardiogram Septic patient after IV fluids and initiation of Levophed. Worsening hypotension. PSLA shown. Diagnosis? Management? Answer: Dynamic LVOTO due to SAM. Patient given additional IV fluids and Beta blockers. Repeat PSLA. Vitals improved. Consider this in patients with worsening hemodynamics after pressors. Dr. Robert Jones @RJonesSonoEM #Systolic #Anterior #Motion #LVOTO #SAM #HOCM #POCUS #Echocardiogram #ultrasound #Cardiology #PLAX #clinical