<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v9i9.12283</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Nursing Practice of Successful Treatment for an Elderly Patient with Fulminant Myocarditis Using ECMO Combined with IABP</title><url>https://artdesignp.com/journal/JCNR/9/9/10.26689/jcnr.v9i9.12283</url><author>ChenMeng,FanLiping</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>9</volume><issue>9</issue><history><date date-type="pub"><published-time>2025-10-16</published-time></date></history><abstract>This paper summarizes the nursing experience of a 65-year-old elderly patient with fulminant myocarditis complicated by cardiogenic shock who received veno-arterial extracorporeal membrane oxygenation (V-A ECMO) combined with intra-aortic balloon pump (IABP) support therapy. The core nursing measures included: establishing a multidisciplinary collaboration team to implement daily goal management; standardized anticoagulation monitoring; refined hemodynamic management; stepped respiratory support; and early rehabilitation intervention. After 9 days of ECMO support combined with 5 days of IABP support, the patient’s cardiac and respiratory functions recovered. The patient was discharged on the 42nd day and was fully recovered during the follow-up on the 60th day. This case suggests that refined nursing care for ECMO combined with IABP is the key to the treatment of fulminant myocarditis.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>Wang D, Hui R, 2022, Promoting the Chinese Protocol for the Management of Fulminant Myocarditis to Save More Lives. Chinese Journal of Cardiology, 50(3): 212–218.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Sawamura A, Okumura T, Ito M, et al., 2018, Prognostic Value of Electrocardiography in Patients with Fulminant Myocarditis Supported by Percutaneous Venoarterial Extracorporeal Membrane Oxygenation – Analysis from the Change Pump Study. Circulation Journal, 82(8): 2089–2095.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Wang D, 2024, Guidelines for the Diagnosis and Treatment of Adult Fulminant Myocarditis in China. Chinese Journal of Cardiology, 52(1): 10–33.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Rajsic S, Breitkopf R, Treml B, et al., 2023, Association of aPTT-Guided Anticoagulation Monitoring with Thromboembolic Events in Patients Receiving V-A ECMO Support: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 12(9): 3224.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>Xu F, Zuo S, Wang X, et al., 2016, Nursing Care for Patients Undergoing ECMO Combined with IABP Therapy After Marginal Donor Heart Transplantation. Journal of Nursing Science, 31(20): 34–36.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>McMichael A, Lindsay M, Damian R, et al., 2022, 2021 ELSO Adult and Pediatric Anticoagulation Guidelines. ASAIO Journal, 2022(3): 68.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B7" content-type="article"><label>7</label><element-citation publication-type="journal"><p>Crivellari M, Landoni G, Ursoleo J, et al., 2024, Protamine and Heparin Interactions: A Narrative Review. Annals of Cardiac Anaesthesia, 27(3): 202–212.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B8" content-type="article"><label>8</label><element-citation publication-type="journal"><p>Rodrigues A, Rodrigues A, Correia C, et al., 2024, Anticoagulation Management in V-V ECMO Patients: A Multidisciplinary Pragmatic Protocol. Journal of Clinical Medicine, 13(3): 719.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B9" content-type="article"><label>9</label><element-citation publication-type="journal"><p>Hou X, 2021, Anticoagulation Monitoring in Extracorporeal Membrane Oxygenation. Perfusion, 36(5): 438–439.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B10" content-type="article"><label>10</label><element-citation publication-type="journal"><p>Yin E, 2023, Anticoagulation Management in Temporary Mechanical Circulatory Support Devices. Texas Heart Institute Journal, 50(4): e238135.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B11" content-type="article"><label>11</label><element-citation publication-type="journal"><p>Wang S, Wan N, Zhang Y, et al., 2020, Nursing Care for Patients with Fulminant Myocarditis Treated with Extracorporeal Membrane Oxygenation Combined with Intra-Aortic Balloon Pump. Chinese Journal of Critical Care Nursing, 2020(5): 4.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B12" content-type="article"><label>12</label><element-citation publication-type="journal"><p>Djordjevic I, Liakopoulos O, Elskamp M, et al., 2022, Concomitant Intra-Aortic Balloon Pumping Significantly Reduces Left Ventricular Pressure During Central Veno-Arterial Extracorporeal Membrane Oxygenation – Results from a Large Animal Model. Life (Basel), 12(11): 1859.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B13" content-type="article"><label>13</label><element-citation publication-type="journal"><p>Chen H, Zhao D, Shi C, 2019, Effect of IABP on Cardiac Function and Hemodynamics in Elderly Patients with Critical Cardiovascular Diseases. Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease, 17(22): 3.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B14" content-type="article"><label>14</label><element-citation publication-type="journal"><p>Bréchot N, Demondion P, Santi F, et al., 2018, Intra-Aortic Balloon Pump Protects Against Hydrostatic Pulmonary Oedema During Peripheral Venoarterial-Extracorporeal Membrane Oxygenation. European Heart Journal: Acute Cardiovascular Care, 7(1): 62–69.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
