Case report: acute fulminant lymphocytic myocarditis with biventricular support in the epidemiological context of COVID-19: what can nursing staff off Section: Casos clínicos AuthorsAxel Gázquez Toscano1, Laia Galán Malón2 Position 1 RN. MSc. Unidad de Cuidados Cardiológicos Agudos del Hospital Clínic de Barcelona. Profesor Asociado Universitat de Barcelona. 2 RN. MSc. Área Quirúrgica del Hospital Clínic de Barcelona. Contact address Axel Gázquez Toscano. Unidad de Cuidados Cardiológicos Agudos. Hospital Clínic de Barcelona. Carrer de Villaroel, 170. 08036 Barcelona Contact email: agazquez16@gmail.com Abstract Background. Fulminant myocarditis (MF) is defined as an inflammatory process involving myocardial tissue as a result of a viral process, among others. Treatment is based on the rapid recovery of myocardial contractility using inotropic and vasoactive drugs. However, the evolution can be turbulent requiring the use of a ventricular assist device. We present the case of a patient who developed MF with cardiogenic shock requiring cardiac support with a biventricular assist device. Once the acute phase resolved, the patient developed psychosocial disorders such as anxiety, fear and loneliness stemming from the critical illness experience. Objectives. To carry out a standardized nursing care plan for the management of ventricular assist device, and the potential complications derived from the use of mechanical circulatory support, in addition to a care plan focused on the psychosocial support of the patient and his family.Methods. Two areas of interest were identified during the admission process: the first one focused on the patient’s critical illness and its assessment; the second one addressed psychosocial aspects of the patient’s care by defining a care plan based on the NANDA, NIC and NOC taxonomy, once the patient’s clinical state has been stabilized. Results. The patient and his family were treated using the interventions described in the care plan, significantly reducing the presentation of anxiety and fear.Conclusions. Carrying out a care plan focused on biopsychosocial aspects is essential to help patients and their families accept sudden onset critical illness. Keywords: myocarditis; critical care; nursing care; auxiliary heart Versión en Español Título: Caso clínico: miocarditis vírica linfocitaria fulminante con soporte biventricular en el contexto epidemiológico del COVID-19: ¿qué podemos ofrecer como profesionales de enfermería? Artículo completo no disponible en este idioma / Full article is not available in this language Bibliography 1. Sharma A, Stulz J, Bellamkonda N, Amsterdam E. Fulminant Myocarditis: Epidemiology, Pathogenesis, Diagnosis, and Management. Am J Cardiol. 2019;124:1954-1960.2. Roberts DA, et al. Global, regional, and national incidence, prevalence and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015;386:743-800.3. Morici N, Varrenti M, Brunelli D, Perna E, Cipriani M, Ammirati E, Frigerio M, Cattaneo M, Oliva F. Antithrombotic therapy in ventricular assist device (VAD) management: From ancient beliefs to updated evidence. A narrative review. IJC Heart&Vasculature. 2018;20:20-26.4. Heather T, Kamitsuru S. NANDA Internacional. Diagnósticos Enfermeros: definiciones y clasificación 2018-2020. 11ª Edición. Barcelona, España: Elsevier; 2019.5. Moorhead S, Swanson E, Johnson M, Maas M. Clasificación de Resultados de Enfermería (NOC). 6ª Edición. Barcelona, España: Elsevier; 2018.6. Butcher H, Bulechek G, Dochterman J, Wagner C. Clasificación de Intervenciones de Enfermería (NIC). 7ª Edición. Barcelona, España: Elsevier; 2018.7. Fernández E, Fuset MP, Grau T, López M, Peñuelas O, Pérez JL, Pérez JM, Rubio JJ, Solla M. Empleo de ECMO en UCI. Recomendaciones de la Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias. Med Intensiva. 2019;43(2):108-120.8. Olejniczak M, Schwartz M, Webber E, Shaffer A, Perry T. Viral Myocarditis-Incidence, Diagnosis and Management, Journal of Cardiothoracic and Vascular Anesthesia. 2020;00:1-11.9. Heng-Wen Chou, et al. Prognostic factors for heart recovery in adult patients with acute fulminant miocarditis and cardiogenic shock supported with extracorporeal membrane oxygenation. Journal of Critical Care. 2020;57:214-219.10. Mody K, Takayama H, Landes E, Yuzefpolskaya M, Colombo P, Naka Y, Jorde U, Uriel N. Acute Mechanical Circulatory Support for Fulminant Myocarditis Complicated by Cardiogenic Shock. J. of Cardiovasc. Trans. Res. 2014;7:156-164.