{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T05:20:48Z","timestamp":1701408048059},"reference-count":38,"publisher":"AACN Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"\n Introduction<\/jats:title>\n Fulminant myocarditis is a devastating disease with significant mortality and complications. The care of patients with fulminant myocarditis is rarely reported.<\/jats:p>\n <\/jats:sec>\n \n Clinical Findings<\/jats:title>\n A 17-year-old female patient was admitted to the emergency department with dizziness, amaurosis fugax, and chest tightness. Initial assessment revealed elevated levels of troponin T (4.753 ng\/mL), troponin I (49.540 ng\/mL), creatine kinase (1306 U\/L), creatine kinase\u2013MB isoenzymes (75.71 ng\/mL), lactate dehydrogenase (509 U\/L), and N-terminal pro-B-type natriuretic peptide (6345 pg\/mL). The patient had recurrent ventricular tachycardia and failed to maintain a sinus rhythm after multiple electrical cardioversions.<\/jats:p>\n <\/jats:sec>\n \n Diagnosis<\/jats:title>\n Echocardiography revealed a left ventricular ejection fraction of 34%. Magnetic resonance imaging results confirmed the diagnosis of myocarditis.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n The patient received extracorporeal membrane oxygenation for 6 days, intra-aortic balloon pump support for 7 days, and mechanical ventilation for 5 days. Norepinephrine and dopamine were used to keep circulation stable, lidocaine and amiodarone were used to control heart rate, and glucocorticoids and immunoglobulins were used to modulate immunity.<\/jats:p>\n <\/jats:sec>\n \n Outcomes<\/jats:title>\n The patient was discharged after 23 days. A month after discharge, echocardiography showed that the ejection fraction was 60%. The patient reported complete resolution of signs and symptoms of fulminant myocarditis at follow-up assessment.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This case report presents the activities of bedside nurses in caring for a patient with fulminant myocarditis and broadens the literature describing nursing interventions for patients with fulminant myocarditis.<\/jats:p>\n <\/jats:sec>","DOI":"10.4037\/ccn2023112","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:04:46Z","timestamp":1701389086000},"page":"22-33","source":"Crossref","is-referenced-by-count":0,"title":["Nursing Management of a Patient With Fulminant Myocarditis and Electrical Storm Receiving ECMO: A Case Report"],"prefix":"10.4037","volume":"43","author":[{"given":"Xiaoxiao","family":"Wu","sequence":"first","affiliation":[{"name":"Xiaoxiao Wu is a clinical nurse in the nursing department, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union 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