Technical reference

Simulator Parameter Grammar: How to Build Any Configuration

The MioAtlas cardiac simulator stores its entire state in the query string, so that any configuration has a stable, reproducible URL. This page documents each parameter, its accepted values, and its default, allowing you to build a link to a specific pathology without interacting with the UI.

What is the anatomy of a simulator URL?

Every link starts from the same base, https://mioatlas.com/simulador/en/, followed by parameters departing from default state. For an arrhythmia, two parameters are required:

https://mioatlas.com/simulador/en/?mode=conduction&arr=AFIB

For a coronary occlusion, also two:

https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX

Remaining parameters are optional modifiers that can be supplied in any order. That is why possible configurations far exceed the 69 entities in the catalog: evolutionary phase, dominance, severity, and multivessel disease combine freely.

What rules govern parameter behavior?

  • Default values are omitted. A URL without mode defaults to coronary mode; one without ph defaults to acute phase. Omitting a parameter and writing its default are equivalent.
  • Invalid values are ignored, never breaking page load. The simulator validates each parameter against its whitelist and discards unrecognized entries.
  • ter accepts comma-separated territories, representing multivessel disease: ter=LAD_PROX,RCA_PROX.
  • Booleans are written as 1 or 0 (true and false are also accepted). A bare key without value does not activate.
  • External parameters are preserved. Campaign tags (utm_*) and unrecognized query keys survive internal state transitions.

Which parameters define pathology?

These parameters determine what clinical entity is being simulated. They are the only ones needed to construct a direct link to a specific pathology.

Key Controls Accepted values Default
mode Simulator mode coronary · conduction coronary
syn Coronary syndrome represented BASAL · SCACEST · SCASEST BASAL
ter Occluded territories. Accepts comma-separated list for multivessel disease one or more territory IDs none
ph Infarction evolutionary phase HIPERAGUDA · AGUDA · ESTABLECIDA · SUBAGUDA · CRONICA AGUDA
dom Coronary dominance RIGHT · LEFT · CODOMINANT RIGHT
sev Occlusion severity TOTAL · SUBTOTAL TOTAL
phe Electrocardiographic phenotype OMI phenotype identifier CLASSIC_STEMI
arr Conduction catalog entity (requires mode=conduction) arrhythmia identifier SINUS_NORMAL
bpm Forced heart rate overriding entity default integer 20 to 260 entity default
blk Manual conduction blocks SITE:degree separated by comma, e.g. AV_NODE:2 none
ghid Hidden conduction system groups atrial · av · his · branch · purkinje · accessory none

Which parameters control visual display?

These do not alter underlying pathology, but how it is presented. The most useful clinically is add=1, which adds posterior V7–V9 and right-sided V3R–V4R leads, indispensable in inferior, right ventricular, and posterior STEMI.

Key Controls Values Default
add Additional leads V7–V9 and V3R–V4R 1 · 0 0
exp Expanded precordials 1 · 0 0
vec 3D lead vectors 1 · 0 1
dip Cardiac dipole 1 · 0 1
flow Animated coronary flow 1 · 0 1
play Running animation 1 · 0 1
op Myocardium opacity integer 15 to 100 100
xray Conduction X-ray view 1 · 0 1
opcor Open heart in conduction mode 1 · 0 1
bed Bedside panel (jugular pulse & heart sounds) 1 · 0 1
aud Auscultation sound 1 · 0 0
rm Reduced motion 1 · 0 0

Resolved clinical examples

Each row translates a clinical question into the URL that opens the pre-configured simulator.

Target clinical scenario URL
Anterior STEMI due to proximal LAD occlusion https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX
The same infarction in hyperacute phase (tall T waves prior to full ST elevation) https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX&ph=HIPERAGUDA
Inferior infarction with right ventricular extension and right leads enabled https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_PROX&add=1
Multivessel disease: concurrent LAD and right coronary artery occlusions https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX,RCA_PROX&add=1
Inferior infarction in a patient with left coronary dominance https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LCX_DISTAL&dom=LEFT&add=1
De Winter pattern on subtotal LAD stenosis https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=DE_WINTER&sev=SUBTOTAL&ph=HIPERAGUDA
Ventricular fibrillation (shockable arrest rhythm) https://mioatlas.com/simulador/en/?mode=conduction&arr=VFIB
Second-degree AV block Mobitz II https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_2_MOBITZ_II
Atrial fibrillation https://mioatlas.com/simulador/en/?mode=conduction&arr=AFIB
Atrial fibrillation conducted at 150 bpm https://mioatlas.com/simulador/en/?mode=conduction&arr=AFIB&bpm=150
Complete AV block with slow escape rhythm and auscultation sound enabled https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_3_INFRAHISIAN&bpm=30&aud=1

Territory identifiers (ter parameter)

Identifier Entity Sheet Direct simulator link
LMCA Tronco Coronario Izquierdo (TCI / LMCA) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LMCA
LAD_VERY_PROX Infarto anteroseptal masivo (LAD muy proximal, pre-S1/pre-D1) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX
LAD_PROX Infarto anteroseptal extenso (LAD proximal, post-S1/pre-D1) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX
LAD_MID Infarto anteroapical (LAD media, post-D1) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_MID
LAD_DISTAL Infarto apical localizado (LAD distal, post-D2) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_DISTAL
LAD_WRAPAROUND Infarto ápico-inferior (LAD recurrente / wraparound) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_WRAPAROUND
D1_ISOLATED Infarto lateral alto aislado (1ª Rama Diagonal / D1) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=D1_ISOLATED
D2_ISOLATED Infarto lateral medio (2ª Rama Diagonal / D2) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=D2_ISOLATED
LCX_PROX Infarto lateral y posterolateral (LCx proximal) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LCX_PROX&add=1
LCX_DISTAL Infarto posterolateral / posterior (LCx distal) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LCX_DISTAL&add=1
OM1_ISOLATED Infarto lateral puro (1ª Marginal Obtusa / OM1) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=OM1_ISOLATED
OM2_ISOLATED Infarto posterolateral bajo (2ª Marginal Obtusa / OM2) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=OM2_ISOLATED&add=1
RCA_PROX Infarto inferior con extensión a Ventrículo Derecho (RCA proximal) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_PROX&add=1
RCA_MID Infarto inferior aislado (RCA media) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_MID
RCA_DISTAL Infarto inferior basal / pre-crux (RCA distal) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_DISTAL
AM_ISOLATED Infarto aislado de Ventrículo Derecho (Rama Marginal Aguda / AM) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=AM_ISOLATED&add=1
PDA_PROX Infarto posterior / ínfero-septal (PDA proximal) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=PDA_PROX&add=1
PLB_ISOLATED Infarto póstero-basal (Ramo Posterolateral / PLB) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=PLB_ISOLATED&add=1

OMI phenotype identifiers (phe parameter)

Identifier Entity Sheet Direct simulator link
CLASSIC_STEMI SCACEST Clásico (Transmural) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=CLASSIC_STEMI
DE_WINTER Patrón de de Winter (Equivalente OMI) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=DE_WINTER&sev=SUBTOTAL&ph=HIPERAGUDA
WELLENS_TYPE_A Síndrome de Wellens Tipo A (T Bifásica) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX&phe=WELLENS_TYPE_A&sev=SUBTOTAL
WELLENS_TYPE_B Síndrome de Wellens Tipo B (T Invertida Profunda) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_PROX&phe=WELLENS_TYPE_B&sev=SUBTOTAL
ASLANGER Patrón de Aslanger (OMI Inferior con Enf. Multivaso) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_MID&phe=ASLANGER&add=1
SHARK_FIN Patrón Shark-Fin (Onda Triangular / Lambda Gigante) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=SHARK_FIN&ph=HIPERAGUDA
LBBB_SGARBOSSA Criterios de Sgarbossa-Smith (Bloqueo de Rama Izquierda) View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=LBBB_SGARBOSSA
PACEMAKER_SGARBOSSA Criterios de Sgarbossa en Ritmo de Marcapasos View sheet https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=PACEMAKER_SGARBOSSA

Arrhythmia identifiers (arr parameter)

Identifier Entity Sheet Direct simulator link
SINUS_NORMAL Ritmo sinusal normal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_NORMAL
SINUS_BRADY Bradicardia sinusal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_BRADY
SINUS_TACHY Taquicardia sinusal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_TACHY
SINUS_ARRHYTHMIA Arritmia sinusal respiratoria View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_ARRHYTHMIA
SA_BLOCK_2 Bloqueo sinoauricular de 2.º grado View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SA_BLOCK_2
SINUS_ARREST Paro sinusal con escape de la unión View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_ARREST
SICK_SINUS Enfermedad del seno (síndrome bradicardia-taquicardia) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=SICK_SINUS
PAC Extrasístoles auriculares View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=PAC
ATRIAL_TACH Taquicardia auricular focal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=ATRIAL_TACH
MAT Taquicardia auricular multifocal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=MAT
AFLUTTER_TYPICAL Flutter auricular típico (antihorario) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AFLUTTER_TYPICAL
AFLUTTER_ATYPICAL Flutter auricular atípico (horario o izquierdo) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AFLUTTER_ATYPICAL
AFIB Fibrilación auricular View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AFIB
WANDERING_PACEMAKER Marcapasos auricular migratorio View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=WANDERING_PACEMAKER
JUNCTIONAL_ESCAPE Ritmo de escape de la unión View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=JUNCTIONAL_ESCAPE
ACCELERATED_JUNCTIONAL Ritmo de la unión acelerado View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=ACCELERATED_JUNCTIONAL
AVNRT Taquicardia por reentrada intranodal (lenta-rápida) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVNRT
AVRT_ORTHO Taquicardia por reentrada AV ortodrómica View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVRT_ORTHO
WPW_SINUS Wolff-Parkinson-White en ritmo sinusal View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=WPW_SINUS
AVRT_ANTIDROMIC Taquicardia por reentrada AV antidrómica View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVRT_ANTIDROMIC
AFIB_WPW Fibrilación auricular preexcitada View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AFIB_WPW
PVC Extrasístoles ventriculares View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=PVC
VT_MONOMORPHIC Taquicardia ventricular monomorfa sostenida View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=VT_MONOMORPHIC&add=1
VT_POLYMORPHIC Taquicardia ventricular polimorfa View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=VT_POLYMORPHIC
TORSADES Torsade de pointes View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=TORSADES
VFIB Fibrilación ventricular View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=VFIB
AIVR Ritmo idioventricular acelerado View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AIVR
VENTRICULAR_ESCAPE Ritmo de escape idioventricular View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=VENTRICULAR_ESCAPE
AVB_1 Bloqueo AV de primer grado View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_1
AVB_2_MOBITZ_I Bloqueo AV de 2.º grado Mobitz I (Wenckebach) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_2_MOBITZ_I
AVB_2_MOBITZ_II Bloqueo AV de 2.º grado Mobitz II View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_2_MOBITZ_II
AVB_2_1 Bloqueo AV 2:1 View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_2_1
AVB_3 Bloqueo AV completo (tercer grado) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_3
AVB_3_INFRAHISIAN Bloqueo AV completo infrahisiano View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=AVB_3_INFRAHISIAN
RBBB Bloqueo completo de rama derecha View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=RBBB&add=1
LBBB Bloqueo completo de rama izquierda View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=LBBB
LAFB Hemibloqueo anterior izquierdo View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=LAFB
LPFB Hemibloqueo posterior izquierdo View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=LPFB
BIFASCICULAR Bloqueo bifascicular (BRD + hemibloqueo anterior) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=BIFASCICULAR&add=1
RBBB_LPFB Bloqueo bifascicular (BRD + hemibloqueo posterior) View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=RBBB_LPFB&add=1
TRIFASCICULAR Bloqueo trifascicular View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=TRIFASCICULAR
ASYSTOLE Asistolia View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=ASYSTOLE
PEA Actividad eléctrica sin pulso View sheet https://mioatlas.com/simulador/en/?mode=conduction&arr=PEA

Machine-readable formats

The complete catalog is published in formats directly consumable by scripts or language models, including synonyms and pre-built URLs.