5th International Conference on Heart and Cardiovascular Diseases

Divya Ravikumar is a medical graduate of Azerbaijan Medical University, with clinical and research interests spanning cardiology, cardiothoracic surgery, paediatrics, and emergency medicine. She has gained clinical exposure through hospital-based training in the United Arab Emirates and is actively involved in medical research, contributing to case reports and scientific publications. Her academic interests include cardiovascular emergencies, advanced life-support techniques, and evidence-based clinical management. Her research, titled “Acute Fulminant Myocarditis: A Bridge to Advanced Surgical Interventions With VenoArterial Extracorporeal Membrane Oxygenation,” highlights the role of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in supporting patients with severe myocardial dysfunction and cardiogenic shock. Through her work, she explores the importance of early recognition, multidisciplinary collaboration, and advanced mechanical circulatory support in managing life-threatening cardiovascular conditions.

Myocarditis is an inflammatory pathology of the heart muscle, often resulting from viral or bacterial infections and, very occasionally, due to drug toxicity. Acute fulminant myocarditis (AFM), the most severe subtype, is an underdiagnosed, life-threatening condition characterized by sudden worsening of cardiac function progressing to cardiogenic shock or multiorgan failure. It remains associated with substantial morbidity and mortality, often secondary to delayed diagnosis. Despite its profound presentation, AFM may demonstrate significant reversibility when recognized early and treated aggressively. Here, we present a challenging case of a middle-aged male patient who presented with AFM and required a multimodal approach in his successful management. The patient required veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support as a bridge to advanced surgical procedures, including staged pericardiectomy and other supportive measures.