Contemporary Nursing

Fulminant Myocarditis (FM) is a severe inflammatory heart disease characterized by a sudden onset and rapid progression. Patients may experience hemodynamic abnormalities, including acute heart failure, cardiogenic shock, severe arrhythmias, and even sudden death, with a high early mortality rate [1]. The Capillary Leak Syndrome (CLS) results from endothelial damage in capillaries due to various diseases, leading to increased vascular permeability and the leakage of large amounts of plasma proteins and water into the tissue spaces. Clinically, it manifests as progressive edema, acute pre-renal kidney injury, hypovolemic shock, pulmonary edema, and even multi-organ dysfunction [2]. Patients with FM combined with CLS have severe conditions, rapid disease progression, and a high mortality rate. Therefore, while providing appropriate treatment, active nursing interventions are essential to improve clinical symptoms. This article analyzes the nursing care of a patient treated with IABP combined with ECMO for FM complicated by CLS at our hospital, and the findings are reported as follows.

IABP; ECMO; Fulminant myocarditis; Leakage syndrome; Nursing care