3D Cardiac Simulator with 12-Lead ECG
Explore three-dimensional coronary anatomy, the excitation-conduction system on coronal cut, and synchronized real-time 12-lead ECG tracing with posterior (V7-V9) and right-sided (V3R-V4R) leads.
Deterministic URL state architecture
Every electrophysiological scenario and ischemic pattern is encoded into unambiguous query parameters. You can share, link, or cite any clinical setup with a reproducible URL in any browser.
https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX&phe=DE_WINTER&sev=SUBTOTAL
Setup: ST-elevation acute coronary syndrome, proximal left anterior descending territory, De Winter equivalent phenotype, and subtotal severity.
Valid simulator query parameters
| Parameter | Supported values | Functional description |
|---|---|---|
mode |
coronary | conduction |
Visual mode: closed coronary anatomy or coronal cut of conduction system. |
syn |
BASAL | SCACEST | SCASEST |
Clinical syndrome evaluated in coronary tree. |
ter |
LMCA | LAD_PROX | RCA_MID (18) |
Anatomical identifier of coronary stenosis or occlusion site. |
phe |
CLASSIC_STEMI | DE_WINTER | WELLENS_TYPE_A | WELLENS_TYPE_B | ASLANGER | SHARK_FIN | LBBB_SGARBOSSA | PACEMAKER_SGARBOSSA |
Electrocardiographic phenotype of acute coronary occlusion (OMI equivalents). |
ph |
HIPERAGUDA | AGUDA | ESTABLECIDA | SUBAGUDA | CRONICA |
Temporal evolutionary phase of transmural infarction. |
dom |
RIGHT | LEFT | CODOMINANT |
Anatomical coronary arterial dominance pattern. |
sev |
TOTAL | SUBTOTAL |
Severity of culprit luminal occlusion. |
add |
1 |
Enables display of additional leads (V7-V9 and V3R-V4R). |
arr |
AFIB | AVNRT | TORSADES (43) |
Identifier of rhythm disorder or conduction defect. |
Direct access to pathological entities
Didactic selection of representative scenarios. Each button links directly to simulator state configured with exact model parameters.
Rhythm Disorders & Conduction Blocks
Fibrilación auricular
Taquicardia por reentrada intranodal (lenta-rápida)
Torsade de pointes
Bloqueo AV completo (tercer grado)
Bloqueo completo de rama izquierda
Coronary Occlusions & Myocardial Ischemia
Tronco Coronario Izquierdo (TCI / LMCA)
Infarto anteroseptal extenso (LAD proximal, post-S1/pre-D1)
Infarto ápico-inferior (LAD recurrente / wraparound)
Infarto lateral y posterolateral (LCx proximal)
Infarto inferior aislado (RCA media)
Infarto posterior / ínfero-septal (PDA proximal)
OMI Electrocardiographic Phenotypes
Patrón de de Winter (Equivalente OMI)
Síndrome de Wellens Tipo A (T Bifásica)
Síndrome de Wellens Tipo B (T Invertida Profunda)
Patrón de Aslanger (OMI Inferior con Enf. Multivaso)
Criterios de Sgarbossa-Smith (Bloqueo de Rama Izquierda)
Criterios de Sgarbossa en Ritmo de Marcapasos
Explore complete thematic catalogs
The complete MioAtlas catalog integrates 69 clinical entities modeled in three dimensions. Explanatory sheets and documentary analysis are published progressively in corresponding sections.
3D STEMI simulator & coronary ischemia
The coronary module reproduces the electrical and tissue repercussion of ST-segment elevation acute coronary syndrome (STEMI). It models 18 occlusion sites across 11 main arteries, from left main trunk to diagonal and marginal branches.
Area at risk extent and reciprocal ST elevation or depression distribution adjust dynamically according to coronary dominance anatomy (right, left, or codominant) and evolutionary phase (hyperacute, acute, fully evolved, subacute, and chronic), including critical occlusion patterns such as De Winter, Wellens, and Sgarbossa criteria.
Arrhythmia simulator & conduction system
Through a coronal section of the heart, the simulator reveals the anatomical trajectory of sinoatrial node, internodal tracts, Bachmann bundle, atrioventricular node in Koch triangle, His bundle, and fascicular branches with subendocardial Purkinje network.
The electrophysiological engine reproduces 43 entities with dedicated kinematics: from physiological sinus rhythms and nodal dysfunction to atrial macro-reentries in typical flutter through cavotricuspid isthmus, chaotic activation in atrial fibrillation, AV nodal reentrant tachycardia (AVNRT), accessory pathways in Wolff-Parkinson-White, first-, second- (Mobitz I & II), and third-degree AV blocks, and bifascicular and trifascicular branch blocks.
12-lead ECG & additional leads simulator
The synthetic monitor generates continuous 120 Hz tracing calibrated to standard clinical paper speed of 25 mm/s and 10 mm/mV over a millimeter grid. It projects three-dimensional lead vectors (I, II, III, aVR, aVL, aVF, and precordial V1-V6) into thoracic space with instantaneous cardiac dipole calculation.
For comprehensive evaluation of posterior wall and right ventricular infarctions, additional leads can be enabled: posterior (V7, V8, V9) and right precordial (V3R, V4R), adapting QT interval via Fridericia formulation based on instantaneous heart rate.
Jugular venous pulse & phonocardiogram
Synchronized hemodynamic correlation of the cardiac cycle. Visualization of venous pressure curve with characteristic waves (a, c, v waves and x, y descents), presence of cannon a waves in atrioventricular dissociation, and phonocardiographic recording of first (S1), second (S2), third (S3), and fourth (S4) heart sounds.
Immersive Augmented Reality (WebXR)
Native WebXR support for mixed reality devices and Meta Quest headsets. Allows projecting the heart model at 1:1 anatomical scale into physical surroundings, orbiting cavities in 3D, and examining spatial orientation of frontal and precordial lead vectors in user space.