{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:12Z","timestamp":1788156852572,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Although awake veno\u2010arterial extracorporeal membrane oxygenation (V\u2010A ECMO) has been increasingly adopted, reports describing the implementation of early cardiac rehabilitation during awake V\u2010A ECMO support, particularly from a nursing perspective, remain limited. We report the nursing experience of early cardiac rehabilitation in a 38\u2010year\u2010old woman with fulminant myocarditis complicated by cardiogenic shock who was supported with awake V\u2010A ECMO. The patient remained conscious and cooperative throughout ECMO support and achieved adequate hemodynamic stability under ECMO and pharmacological support without requiring mechanical ventilation. Based on comprehensive nursing assessment and multidisciplinary team collaboration, early rehabilitation was initiated on day 3 of ECMO support and progressed in a stepwise manner from passive limb exercises to bedside ambulation. No rehabilitation\u2010related adverse events, including cannula dislodgement, major bleeding, worsening arrhythmia, or hemodynamic deterioration, occurred during the rehabilitation sessions. The patient was successfully weaned from ECMO and achieved full recovery of activities of daily living prior to hospital discharge. This case suggests that, under rigorous nursing assessment, continuous monitoring, and close multidisciplinary collaboration, early cardiac rehabilitation during awake V\u2010A ECMO support may be feasible and safe in carefully selected patients with fulminant myocarditis. This experience may provide practical insights for nursing care in similar clinical settings.<\/jats:p>","DOI":"10.1002\/ccr3.73300","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:47:36Z","timestamp":1787028456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Cardiac Rehabilitation in Awake Veno\u2010Arterial ECMO for Fulminant Myocarditis: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1721-4432","authenticated-orcid":false,"given":"Xueting","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinfeng","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"He","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Shunde Hospital of Southern Medical University  Foshan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuquan","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"issue":"9","key":"e_1_2_10_2_1","first-page":"879","article-title":"Establishment of Early Risk Assessment Model for Fulminant Myocarditis","volume":"32","author":"Chen X.","year":"2024","journal-title":"Chinese Journal of Hypertension"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15420\/ecr.2022.54"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41392-020-00360-y"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11427-019-9507-x"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"619","article-title":"Advances in Mechanical Circulatory Support for Fulminant Myocarditis","volume":"24","author":"Xian L. Y.","year":"2025","journal-title":"Journal of Difficult and Obscure Diseases"},{"issue":"2","key":"e_1_2_10_7_1","first-page":"3","article-title":"Expert Consensus on Diagnosis and Treatment of Fulminant Myocarditis in Adults","volume":"32","author":"Chinese Society of Cardiology","year":"2018","journal-title":"Clinical Medicine & Research Practice"},{"issue":"9","key":"e_1_2_10_8_1","first-page":"894","article-title":"Efficacy Analysis of Combined Mechanical Circulatory Support and Immunomodulation in Fulminant Myocarditis With Cardiogenic Shock","volume":"49","author":"Ye F. M.","year":"2021","journal-title":"Chinese Journal of Cardiology"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0375-9393.24.18228-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2020.04.38"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000533"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/02676591221096078"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1644"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd9020034"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v17.i8.107811"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc13746"},{"issue":"3","key":"e_1_2_10_17_1","first-page":"412","article-title":"Evidence Summary of Early Mobilization in Adult Patients on Extracorporeal Membrane Oxygenation","volume":"24","author":"Zhang X. Y.","year":"2024","journal-title":"Chinese Journal of Nursing Management"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73300","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73300","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73300","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:22:29Z","timestamp":1788153749000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ccr3.73300"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73300","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2025-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73300"}}