{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.myocardial-infarction","code":"thing-q12152","url":"https://ver.cy/models/thing/q12152/","name":"myocardial infarction","alternateNames":["Clinical Judgement Simulation","nontransmural myocardial infarction","MINOCA","epectasy","myocardial infarction in women","posteroinferior myocardial infarction","anterolateral myocardial infarction","septal myocardial infarction","posterior myocardial infarction","apical myocardial infarction","subendocardial myocardial infarction","inferior myocardial infarction"],"kind":"thing","status":"published","version":"0.2.0-wave.1","language":"en","classifiers":{"family":"Thing Registry","category":"Cross-cutting context","entryKind":"thing","plane":"XCT","domain":["XCT.STA"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"Death of heart muscle caused by inadequate oxygen supply relative to its needs, often from a sudden blockage of blood flow in a coronary artery but also from other causes of oxygen supply-demand imbalance, commonly called a heart attack; a medical emergency needing immediate treatment, with symptoms such as chest pain or pressure, breathlessness, sweating and nausea, which may differ in women and older people.","purpose":"Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Blocked coronary blood flow","Time-critical","Treatable in hospital","Symptoms vary"],"structure":{"bundles":[{"id":"emergency","name":"Emergency","description":"Act now.","layers":[{"id":"call","name":"Call","description":"Emergency services.","findings":[{"id":"call-finding","name":"Call","description":"Emergency call.","questions":[{"text":"Are there signs of a heart attack such as chest pain, breathlessness or sweating?","kind":"boundary"},{"text":"Which emergency number should be called now, without delay?","kind":"action"}]}]},{"id":"arrest","name":"Arrest","description":"CPR and defibrillator.","findings":[{"id":"arrest-finding","name":"Arrest","description":"Cardiac arrest.","questions":[{"text":"Is the person unresponsive and not breathing normally?","kind":"boundary"},{"text":"Should CPR be started and a defibrillator used, as the dispatcher instructs?","kind":"action"}]}]}]},{"id":"limits","name":"Limits","description":"No diagnosis.","layers":[{"id":"diagnosis","name":"Diagnosis","description":"Chest pain.","findings":[{"id":"diagnosis-finding","name":"Diagnosis","description":"Diagnosis limit.","questions":[{"text":"Is the user asking the agent whether chest pain is a heart attack?","kind":"boundary"},{"text":"Why should they seek emergency care instead of waiting?","kind":"action"}]}]},{"id":"medicines","name":"Medicines","description":"Aspirin and others.","findings":[{"id":"medicines-finding","name":"Medicines","description":"Medicines limit.","questions":[{"text":"Is the user asking whether to take a medicine during symptoms?","kind":"boundary"},{"text":"Should they follow the emergency dispatcher advice?","kind":"action"}]}]}]},{"id":"recovery","name":"Recovery","description":"After a heart attack.","layers":[{"id":"rehab","name":"Rehab","description":"Cardiac rehabilitation.","findings":[{"id":"rehab-finding","name":"Rehab","description":"Cardiac rehabilitation.","questions":[{"text":"How can someone access cardiac rehabilitation?","kind":"action"},{"text":"What does it involve, in general terms?","kind":"provenance"}]}]},{"id":"support","name":"Support","description":"Emotional support.","findings":[{"id":"support-finding","name":"Support","description":"Support.","questions":[{"text":"Which heart charities offer support and helplines?","kind":"provenance"},{"text":"Is support available for carers?","kind":"provenance"}]}]}]},{"id":"prevention","name":"Prevention","description":"Public health.","layers":[{"id":"risks","name":"Risks","description":"Risk factors.","findings":[{"id":"risks-finding","name":"Risks","description":"Risk factors.","questions":[{"text":"What risk factors do health authorities identify?","kind":"provenance"},{"text":"Where can a health check be booked?","kind":"action"}]}]},{"id":"learn","name":"Learn","description":"CPR training.","findings":[{"id":"learn-finding","name":"Learn","description":"CPR training.","questions":[{"text":"Where can people learn CPR and defibrillator use?","kind":"provenance"},{"text":"Where are public defibrillators located?","kind":"provenance"}]}]}]}]},"agentConduct":{"may":["Urge anyone with possible heart attack symptoms to call emergency services at once.","Give general, sourced information on risk factors and recovery."],"mustNot":["Reassure someone with possible symptoms that it is not a heart attack.","Advise delaying emergency care or driving oneself to hospital.","Recommend medicines or doses in place of emergency services or a clinician.","Disclose a person's cardiac history without consent."],"requiresHuman":["Acting on any medical decision during a suspected heart attack."]},"ethics":{"considerations":["Delay costs heart muscle and lives.","Symptoms in women and older people are often missed."],"affectedParties":["Heart attack patients","Families and bystanders","Emergency responders"]},"owners":{"steward":"The patient with their care team; health systems hold the records.","roles":[],"masterSystems":[]},"relations":[{"target":"Q188151","type":"parent","note":"registry parent class"},{"target":"Q207550","type":"parent","note":"registry parent class"},{"target":"Q844935","type":"parent","note":"registry parent class"},{"target":"ischaemia and coronary artery disease","type":"related","note":"category"},{"target":"cardiac arrest","type":"related","note":"complication"},{"target":"emergency cardiology","type":"related","note":"care"},{"target":"circulation","type":"related","note":"physiology"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.myocardial-infarction","Wikidata: Q12152 (https://www.wikidata.org/wiki/Q12152)","ICD-11: BA41 acute myocardial infarction"]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"optional","items":["Chest pain or pressure spreading to arm, jaw or back","Symptoms can be subtle, especially in women","Cardiac arrest is a related but different emergency","Symptoms rather than visible signs; diagnosed by ECG and blood tests in hospital."]},"capabilities":{"applicability":"required","items":["recognise warning signs and call emergency services","follow dispatcher and first-aid guidance","find cardiac rehabilitation and support","find prevention information"]},"hazards":{"applicability":"required","items":["Delaying emergency calls","Agents diagnosing chest pain","Driving oneself to hospital"]},"interfaces":{"applicability":"required","items":["Resuscitation council guidelines","Clinical guidelines for acute coronary syndromes"]},"context":{"applicability":"required","items":["A life-threatening emergency and a major cause of death.","STEMI","NSTEMI","MINOCA","silent myocardial infarction"]}},"sources":[{"title":"Wikidata item Q12152: myocardial infarction","url":"https://www.wikidata.org/wiki/Q12152","note":"identity and sense of the item"},{"title":"Wikipedia: Myocardial infarction","url":"https://en.wikipedia.org/wiki/Myocardial_infarction","note":"general description of the item"}],"openQuestions":["Should subtypes be separate entries?","How should emergency numbers be localised?","How should alias lists be curated?"],"resources":{"spec":"/models/things/publications/thing-q12152/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q12152/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-11T11:26:49Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-07T10:10:25+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane XCT: no invented physical properties."},"score":1.0}}