myocardial infarction
Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.
Bundle → Layer → Finding → Questions Filled
4 bundles · 8 layers · 8 findings · 16 questions
Emergency Act now.
Call
Emergency services.
Call
Emergency call.
- Are there signs of a heart attack such as chest pain, breathlessness or sweating? boundary
- Which emergency number should be called now, without delay? action
Arrest
CPR and defibrillator.
Arrest
Cardiac arrest.
- Is the person unresponsive and not breathing normally? boundary
- Should CPR be started and a defibrillator used, as the dispatcher instructs? action
Limits No diagnosis.
Diagnosis
Chest pain.
Diagnosis
Diagnosis limit.
- Is the user asking the agent whether chest pain is a heart attack? boundary
- Why should they seek emergency care instead of waiting? action
Medicines
Aspirin and others.
Medicines
Medicines limit.
- Is the user asking whether to take a medicine during symptoms? boundary
- Should they follow the emergency dispatcher advice? action
Recovery After a heart attack.
Rehab
Cardiac rehabilitation.
Rehab
Cardiac rehabilitation.
- How can someone access cardiac rehabilitation? action
- What does it involve, in general terms? provenance
Support
Emotional support.
Support
Support.
- Which heart charities offer support and helplines? provenance
- Is support available for carers? provenance
Prevention Public health.
Risks
Risk factors.
Risks
Risk factors.
- What risk factors do health authorities identify? provenance
- Where can a health check be booked? action
Learn
CPR training.
Learn
CPR training.
- Where can people learn CPR and defibrillator use? provenance
- Where are public defibrillators located? provenance
Classifiers Filled
- Family
- Thing Registry
- Category
- Cross-cutting context
- Entry kind
- thing
- Plane
- XCT
- Domain
- XCT.STA
- Other names and narrower kinds
- 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
What it is Filled
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.
Why it exists Filled
Let an agent route suspected heart attacks to emergency services immediately, give general information from official sources, and never diagnose or delay care.
Distinguishing features Filled
- Blocked coronary blood flow
- Time-critical
- Treatable in hospital
- Symptoms vary
What robots and AI may and may not do Filled
Must not
- 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.
Only with a human decision
- Acting on any medical decision during a suspected heart attack.
May
- Urge anyone with possible heart attack symptoms to call emergency services at once.
- Give general, sourced information on risk factors and recovery.
Moral aspects Filled
- Delay costs heart muscle and lives.
- Symptoms in women and older people are often missed.
Who is affected
- Heart attack patients
- Families and bystanders
- Emergency responders
Owners Filled
Steward
The patient with their care team; health systems hold the records.
Links to other meta-models Filled
parent
- Q188151 - registry parent class
- Q207550 - registry parent class
- Q844935 - registry parent class
related
- ischaemia and coronary artery disease - category
- cardiac arrest - complication
- emergency cardiology - care
- circulation - physiology
What else AI and robots need to interact with it Filled
Identity and identifiers required Filled
- Vercy registry: vr.tr.myocardial-infarction
- Wikidata: Q12152 (https://www.wikidata.org/wiki/Q12152)
- ICD-11: BA41 acute myocardial infarction
Direct properties not applicable Not applicable
Not applicable
Plane XCT: no invented physical properties.
Recognition optional Filled
- 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 and actions required Filled
- recognise warning signs and call emergency services
- follow dispatcher and first-aid guidance
- find cardiac rehabilitation and support
- find prevention information
Hazards and failure modes required Filled
- Delaying emergency calls
- Agents diagnosing chest pain
- Driving oneself to hospital
Standards and interfaces required Filled
- Resuscitation council guidelines
- Clinical guidelines for acute coronary syndromes
Context of use required Filled
- A life-threatening emergency and a major cause of death.
- STEMI
- NSTEMI
- MINOCA
- silent myocardial infarction
Sources Filled
- Wikidata item Q12152: myocardial infarction - identity and sense of the item
- Wikipedia: Myocardial infarction - general description of the item
Open questions
- Should subtypes be separate entries?
- How should emergency numbers be localised?
- How should alias lists be curated?
Machine files
Provenance
thing registry research (pass 2) · unreviewed
Built from: models/things/publications/thing-q12152/spec.json