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Research draft

myocardial infarction

vr.tr.myocardial-infarction · XCT.STA

Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.

Thing Registry Cross-cutting context

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.

Death of heart muscle caused by a sudden blockage of blood flow in a coronary artery, 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.

What it is for: A life-threatening emergency and a major cause of death.

It can be recognise warning signs and call emergency services; follow dispatcher and first-aid guidance; find cardiac rehabilitation and support; find prevention information.

Distinguishing features

Blocked coronary blood flow

Time-critical

Treatable in hospital

Symptoms vary

What it looks like

Symptoms rather than visible signs; diagnosed by ECG and blood tests in hospital.

How it is recognised

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

Related models

is a kind of - category

ischaemia and coronary artery disease

can lead to - complication

cardiac arrest

is treated by - care

emergency cardiology

is related to - physiology

circulation

In practice

Families and kinds

STEMI

NSTEMI

MINOCA

silent myocardial infarction

Identifiers

ICD-11 BA41 acute myocardial infarction

Standards and regulation

Resuscitation council guidelines

Clinical guidelines for acute coronary syndromes

Failure modes and hazards

Delaying emergency calls

Agents diagnosing chest pain

Driving oneself to hospital

Also called

Clinical Judgement Simulationnontransmural myocardial infarctionMINOCAepectasymyocardial infarction in womenposteroinferior myocardial infarctionanterolateral myocardial infarctionseptal myocardial infarctionposterior myocardial infarctionapical myocardial infarctionsubendocardial myocardial infarctioninferior myocardial infarctionposterolateral myocardial infarctioninferolateral myocardial infarctlateral myocardial infarctionsilent myocardial infarctionanteroseptal myocardial infarctionacute myocardial infarctionmyocardial stunningnon-ST elevated myocardial infarctionmyocardial infarction with ST segment elevationanterior wall myocardial infarctionmyocardial infarction complicationno reflow phenomenonpostoperative heart attackstrictly posterior acute myocardial infarctionsubendocardial infarction acute myocardial infarctionacute inferoposterior infarctionacute inferolateral myocardial infarctionacute anterolateral myocardial infarction

Where this came from

wikidata · CC0 1.0

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Emergency Act now.

Emergencies come first.

Call

Emergency services.

Call

Emergency call.

  1. Are there signs of a heart attack such as chest pain, breathlessness or sweating? boundary
  2. Which emergency number should be called now, without delay? action

Arrest

CPR and defibrillator.

Arrest

Cardiac arrest.

  1. Is the person unresponsive and not breathing normally? boundary
  2. Should CPR be started and a defibrillator used, as the dispatcher instructs? action
Limits No diagnosis.

Clinicians decide.

Diagnosis

Chest pain.

Diagnosis

Diagnosis limit.

  1. Is the user asking the agent whether chest pain is a heart attack? boundary
  2. Why should they seek emergency care instead of waiting? action

Medicines

Aspirin and others.

Medicines

Medicines limit.

  1. Is the user asking whether to take a medicine during symptoms? boundary
  2. Should they follow the emergency dispatcher advice? action
Recovery After a heart attack.

Rehabilitation helps.

Rehab

Cardiac rehabilitation.

Rehab

Cardiac rehabilitation.

  1. How can someone access cardiac rehabilitation? action
  2. What does it involve, in general terms? provenance

Support

Emotional support.

Support

Support.

  1. Which heart charities offer support and helplines? provenance
  2. Is support available for carers? provenance
Prevention Public health.

Risks can be reduced.

Risks

Risk factors.

Risks

Risk factors.

  1. What risk factors do health authorities identify? provenance
  2. Where can a health check be booked? action

Learn

CPR training.

Learn

CPR training.

  1. Where can people learn CPR and defibrillator use? provenance
  2. Where are public defibrillators located? provenance

What the second pass must settle

  • Should subtypes be separate entries?
  • How should emergency numbers be localised?
  • How should alias lists be curated?