CLASSIC_STEMI
Technical documentation
Classic STEMI (Transmural)
Classic transmural epicardial injury pattern with upward convex ST-segment elevation and reciprocal changes in opposite leads.
Also known as: Classic STEMI (Transmural) · SCACEST · IAMCEST · STEMI · infarto con elevacion del ST · infarto transmural · SCACEST clasico · classic STEMI · ST elevation myocardial infarction · infarto agudo de miocardio con elevacion del ST
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Occlusion severity | Total |
| Compatible territories | LMCA, LAD_VERY_PROX, LAD_PROX, LAD_MID, LAD_DISTAL, LAD_WRAPAROUND, D1_ISOLATED, D2_ISOLATED, LCX_PROX, LCX_DISTAL, OM1_ISOLATED, OM2_ISOLATED, RCA_PROX, RCA_MID, RCA_DISTAL, AM_ISOLATED, PDA_PROX, PLB_ISOLATED |
Frequently asked clinical questions
How is Classic STEMI (Transmural) identified on the 12-lead ECG?
Classic transmural epicardial injury pattern with upward convex ST-segment elevation and reciprocal changes in opposite leads. The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are 12 derivaciones. Convex upward ST-segment elevation with reciprocal depression in opposite leads. In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It represents transmural ischemia secondary to occlusion in the territory of the culprit coronary artery.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?syn=SCACEST&ter=LAD_VERY_PROX&phe=CLASSIC_STEMI
Related entities
Other entities in the same category within the catalog:
- de Winter Pattern (OMI Equivalent)
- Wellens Syndrome Type A (Biphasic T)
- Wellens Syndrome Type B (Deep Inverted T)
- Aslanger Pattern (Inferior OMI with Multivessel Disease)
- Shark-Fin Pattern (Triangular Wave / Giant Lambda)
- Sgarbossa-Smith Criteria (Left Bundle Branch Block)
- Sgarbossa Criteria in Paced Rhythm
Related clinical comparisons
Sources and bibliographic references
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Wagner GS, Macfarlane P, Wellens H, et al. (2009). "AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction". Circulation.
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Thygesen K, Alpert JS, Jaffe AS, et al. (2019). "Fourth Universal Definition of Myocardial Infarction (2018)". Eur Heart J.
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Rao SV, O'Donoghue ML, Ruel M, et al. (2025). "2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes". Circulation.