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      "lesionId": "LCX_PROX",
      "markerObject": "OCC_LCX_PROX",
      "targetCurve": "COR_LCX",
      "offsetFactor": 0.16,
      "severityPercent": 100,
      "active": false,
      "territory": "lateral_posterior",
      "affectedLeads": ["I", "aVL", "V5", "V6", "V7", "V8", "V9"],
      "stemiPattern": "lateral_or_posterior_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_LCX_PROX"
    },
    {
      "lesionId": "LCX_DISTAL",
      "markerObject": "OCC_LCX_DISTAL",
      "targetCurve": "COR_LCX",
      "offsetFactor": 0.65,
      "severityPercent": 100,
      "active": false,
      "territory": "posterolateral_distal",
      "affectedLeads": ["V7", "V8", "V9", "V6"],
      "stemiPattern": "posterior_distal_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_LCX_DISTAL"
    },
    {
      "lesionId": "OM1_ISOLATED",
      "markerObject": "OCC_OM1_ISOLATED",
      "targetCurve": "COR_OM1",
      "offsetFactor": 0.25,
      "severityPercent": 100,
      "active": false,
      "territory": "lateral_lv_free_wall",
      "affectedLeads": ["I", "aVL", "V5", "V6"],
      "stemiPattern": "lateral_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_OM1_ISOLATED"
    },
    {
      "lesionId": "OM2_ISOLATED",
      "markerObject": "OCC_OM2_ISOLATED",
      "targetCurve": "COR_OM2",
      "offsetFactor": 0.3,
      "severityPercent": 100,
      "active": false,
      "territory": "posterolateral_low",
      "affectedLeads": ["V5", "V6", "V7"],
      "stemiPattern": "posterolateral_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_OM2_ISOLATED"
    },
    {
      "lesionId": "RCA_PROX",
      "markerObject": "OCC_RCA_PROX",
      "targetCurve": "COR_RCA",
      "offsetFactor": 0.14,
      "severityPercent": 100,
      "active": false,
      "territory": "inferior_right_ventricular",
      "affectedLeads": ["II", "III", "aVF", "V1", "V3R", "V4R"],
      "stemiPattern": "inferior_RV_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_RCA_PROX"
    },
    {
      "lesionId": "RCA_MID",
      "markerObject": "OCC_RCA_MID",
      "targetCurve": "COR_RCA",
      "offsetFactor": 0.52,
      "severityPercent": 100,
      "active": false,
      "territory": "inferior",
      "affectedLeads": ["II", "III", "aVF"],
      "stemiPattern": "inferior_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_RCA_MID"
    },
    {
      "lesionId": "RCA_DISTAL",
      "markerObject": "OCC_RCA_DISTAL",
      "targetCurve": "COR_RCA",
      "offsetFactor": 0.82,
      "severityPercent": 100,
      "active": false,
      "territory": "inferior_basal_precrux",
      "affectedLeads": ["II", "III", "aVF"],
      "stemiPattern": "inferior_distal_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_RCA_DISTAL"
    },
    {
      "lesionId": "AM_ISOLATED",
      "markerObject": "OCC_AM_ISOLATED",
      "targetCurve": "COR_AM",
      "offsetFactor": 0.3,
      "severityPercent": 100,
      "active": false,
      "territory": "isolated_right_ventricle",
      "affectedLeads": ["V1", "V3R", "V4R"],
      "stemiPattern": "isolated_RV_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_AM_ISOLATED"
    },
    {
      "lesionId": "PDA_PROX",
      "markerObject": "OCC_PDA_PROX",
      "targetCurve": "COR_PDA",
      "offsetFactor": 0.2,
      "severityPercent": 100,
      "active": false,
      "territory": "posterior_inferior_septal",
      "affectedLeads": ["V7", "V8", "V9", "III", "aVF", "II"],
      "stemiPattern": "posterior_inferoseptal_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_PDA_PROX"
    },
    {
      "lesionId": "PLB_ISOLATED",
      "markerObject": "OCC_PLB_ISOLATED",
      "targetCurve": "COR_PLB",
      "offsetFactor": 0.25,
      "severityPercent": 100,
      "active": false,
      "territory": "posterobasal_lateral",
      "affectedLeads": ["V7", "V8", "V9", "II", "aVF", "V6"],
      "stemiPattern": "posterobasal_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_PLB_ISOLATED"
    },
    {
      "lesionId": "POSTERIOR_STRICT",
      "markerObject": "OCC_POSTERIOR_STRICT",
      "targetCurve": "COR_PDA",
      "offsetFactor": 0.25,
      "severityPercent": 100,
      "active": false,
      "territory": "posterior_strict",
      "affectedLeads": ["V7", "V8", "V9"],
      "stemiPattern": "posterior_strict_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_POSTERIOR_STRICT"
    },
    {
      "lesionId": "DE_WINTER",
      "markerObject": "OCC_DE_WINTER",
      "targetCurve": "COR_LAD",
      "offsetFactor": 0.25,
      "severityPercent": 95,
      "active": false,
      "territory": "anterior_de_winter_omi",
      "affectedLeads": ["aVR", "V1", "V2", "V3", "V4", "V5", "V6"],
      "stemiPattern": "de_winter_OMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_DE_WINTER"
    },
    {
      "lesionId": "WELLENS_TYPE_A",
      "markerObject": "OCC_WELLENS_TYPE_A",
      "targetCurve": "COR_LAD",
      "offsetFactor": 0.22,
      "severityPercent": 90,
      "active": false,
      "territory": "anterior_wellens_type_a",
      "affectedLeads": ["V2", "V3"],
      "stemiPattern": "wellens_type_a_critical_stenosis",
      "selectableInWeb": true,
      "lesionObject": "LESION_WELLENS_TYPE_A"
    },
    {
      "lesionId": "WELLENS_TYPE_B",
      "markerObject": "OCC_WELLENS_TYPE_B",
      "targetCurve": "COR_LAD",
      "offsetFactor": 0.22,
      "severityPercent": 90,
      "active": false,
      "territory": "anterior_wellens_type_b",
      "affectedLeads": ["V2", "V3", "V4"],
      "stemiPattern": "wellens_type_b_critical_stenosis",
      "selectableInWeb": true,
      "lesionObject": "LESION_WELLENS_TYPE_B"
    },
    {
      "lesionId": "LBBB_SGARBOSSA",
      "markerObject": "OCC_LBBB_SGARBOSSA",
      "targetCurve": "COR_LAD",
      "offsetFactor": 0.2,
      "severityPercent": 100,
      "active": false,
      "territory": "lbbb_modified_sgarbossa",
      "affectedLeads": ["V1", "V2", "V3", "I", "aVL"],
      "stemiPattern": "lbbb_sgarbossa_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_LBBB_SGARBOSSA"
    },
    {
      "lesionId": "PM_SGARBOSSA",
      "markerObject": "OCC_PM_SGARBOSSA",
      "targetCurve": "COR_LAD",
      "offsetFactor": 0.2,
      "severityPercent": 100,
      "active": false,
      "territory": "pacemaker_sgarbossa",
      "affectedLeads": ["V1", "V2", "V3", "I", "aVL"],
      "stemiPattern": "pacemaker_sgarbossa_STEMI",
      "selectableInWeb": true,
      "lesionObject": "LESION_PM_SGARBOSSA"
    }
  ],
  "scenarios": [
    {
      "id": "SCENARIO_LMCA_TOTAL",
      "label": "Oclusión total de Tronco Coronario Izquierdo (TCI / LMCA)",
      "shortLabel": "TCI Total",
      "lesionId": "LMCA_TOTAL",
      "severity": 100,
      "flowRate": 0.01,
      "perfusion": 0.05,
      "affectedLeads": ["aVR", "V1", "V2"],
      "reciprocalLeads": ["I", "II", "aVL", "V4", "V5", "V6"],
      "stemiPattern": "left_main_total_STEMI",
      "category": "LMCA",
      "clinicalDescription": "Oclusión catastrófica del tronco común izquierdo. Causa shock cardiogénico masivo. aVR elevado mayor que V1 con depresión multiderivación profunda (I, II, aVL, V4-V6)."
    },
    {
      "id": "SCENARIO_LMCA_SUBTOTAL",
      "label": "Estenosis subtotal crítica de Tronco (TCI / LMCA)",
      "shortLabel": "TCI Subtotal",
      "lesionId": "LMCA_SUBTOTAL",
      "severity": 95,
      "flowRate": 0.2,
      "perfusion": 0.3,
      "affectedLeads": ["aVR"],
      "reciprocalLeads": ["I", "II", "aVL", "V4", "V5", "V6"],
      "stemiPattern": "left_main_subtotal_STEMI",
      "category": "LMCA",
      "clinicalDescription": "Isquemia subendocárdica circunferencial severa. Elevación aislada de aVR mayor de 1 mm con descenso de ST en 6 o más derivaciones."
    },
    {
      "id": "SCENARIO_LAD_VERY_PROX",
      "label": "Infarto anteroseptal masivo (LAD muy proximal, pre-S1/pre-D1)",
      "shortLabel": "LAD Muy Prox",
      "lesionId": "LAD_VERY_PROX",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V1", "V2", "V3", "V4", "I", "aVL", "aVR"],
      "reciprocalLeads": ["II", "III", "aVF"],
      "stemiPattern": "anterior_very_proximal_STEMI",
      "category": "LAD",
      "clinicalDescription": "Oclusión previa a la primera rama septal (S1) y diagonal (D1). Afecta al sistema de conducción basal y tabique proximal. Elevación en V1-V4, I, aVL y aVR con descenso en III > II."
    },
    {
      "id": "SCENARIO_LAD_PROX",
      "label": "Infarto anteroseptal extenso (LAD proximal, post-S1/pre-D1)",
      "shortLabel": "LAD Proximal",
      "lesionId": "LAD_PROX",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V1", "V2", "V3", "V4", "I", "aVL"],
      "reciprocalLeads": ["II", "III", "aVF"],
      "stemiPattern": "anterior_proximal_STEMI",
      "category": "LAD",
      "clinicalDescription": "Afectación de cara anterior y anterolateral con respeto del septo basal. Elevación V1-V4, I, aVL con descenso recíproco inferior."
    },
    {
      "id": "SCENARIO_LAD_MID",
      "label": "Infarto anteroapical (LAD media, post-D1)",
      "shortLabel": "LAD Media",
      "lesionId": "LAD_MID",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V2", "V3", "V4"],
      "reciprocalLeads": ["III", "aVF"],
      "stemiPattern": "anterior_mid_STEMI",
      "category": "LAD",
      "clinicalDescription": "Oclusión clásica distal a D1. Máxima elevación en V2-V4 con ápex ventricular izquierdo afectado."
    },
    {
      "id": "SCENARIO_LAD_DISTAL",
      "label": "Infarto apical localizado (LAD distal, post-D2)",
      "shortLabel": "LAD Distal",
      "lesionId": "LAD_DISTAL",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V3", "V4", "V5", "V6"],
      "reciprocalLeads": [],
      "stemiPattern": "anterior_distal_STEMI",
      "category": "LAD",
      "clinicalDescription": "Infarto apical circunscrito. Elevación sutil en V3-V6 sin cambios recíprocos en cara inferior."
    },
    {
      "id": "SCENARIO_LAD_WRAPAROUND",
      "label": "Infarto ápico-inferior (LAD recurrente / wraparound)",
      "shortLabel": "LAD Wraparound",
      "lesionId": "LAD_WRAPAROUND",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V3", "V4", "V5", "II", "III", "aVF"],
      "reciprocalLeads": ["aVL"],
      "stemiPattern": "apical_inferior_STEMI",
      "category": "LAD",
      "clinicalDescription": "La arteria LAD rodea el ápex y sube por el surco posterior. Produce elevación anterior y simultáneamente inferior (II > III), con descenso recíproco en aVL."
    },
    {
      "id": "SCENARIO_D1_ISOLATED",
      "label": "Infarto lateral alto aislado (1ª Rama Diagonal / D1)",
      "shortLabel": "D1 Aislada",
      "lesionId": "D1_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["I", "aVL", "V2"],
      "reciprocalLeads": ["III", "aVF"],
      "stemiPattern": "high_lateral_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Oclusión aislada de la primera diagonal. Cara lateral alta con elevación en I y aVL y descenso en cara inferior."
    },
    {
      "id": "SCENARIO_D2_ISOLATED",
      "label": "Infarto lateral medio (2ª Rama Diagonal / D2)",
      "shortLabel": "D2 Aislada",
      "lesionId": "D2_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["aVL", "V5", "V6"],
      "reciprocalLeads": ["III", "aVF"],
      "stemiPattern": "lateral_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Oclusión de segunda diagonal. Cara lateral media y baja (aVL, V5, V6)."
    },
    {
      "id": "SCENARIO_LCX_PROX",
      "label": "Infarto lateral y posterolateral (LCx proximal)",
      "shortLabel": "LCx Proximal",
      "lesionId": "LCX_PROX",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["I", "aVL", "V5", "V6", "V7", "V8", "V9"],
      "reciprocalLeads": ["V1", "V2", "V3"],
      "stemiPattern": "lateral_or_posterior_STEMI",
      "category": "LCX",
      "clinicalDescription": "Cara lateral extensa y posterolateral. Elevación en I, aVL, V5-V6 y V7-V9 con descenso horizontal y T alta en V1-V3."
    },
    {
      "id": "SCENARIO_LCX_DISTAL",
      "label": "Infarto posterolateral / posterior (LCx distal)",
      "shortLabel": "LCx Distal",
      "lesionId": "LCX_DISTAL",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V7", "V8", "V9", "V6"],
      "reciprocalLeads": ["V1", "V2"],
      "stemiPattern": "posterior_distal_STEMI",
      "category": "LCX",
      "clinicalDescription": "Afectación de segmentos posterolaterales y basales. Diagnóstico por elevación en V7-V9."
    },
    {
      "id": "SCENARIO_OM1_ISOLATED",
      "label": "Infarto lateral puro (1ª Marginal Obtusa / OM1)",
      "shortLabel": "OM1 Aislada",
      "lesionId": "OM1_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["I", "aVL", "V5", "V6"],
      "reciprocalLeads": ["III", "aVF"],
      "stemiPattern": "lateral_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Pared lateral libre del ventrículo izquierdo. Elevación en I, aVL, V5, V6."
    },
    {
      "id": "SCENARIO_OM2_ISOLATED",
      "label": "Infarto posterolateral bajo (2ª Marginal Obtusa / OM2)",
      "shortLabel": "OM2 Aislada",
      "lesionId": "OM2_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V5", "V6", "V7"],
      "reciprocalLeads": ["aVL"],
      "stemiPattern": "posterolateral_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Pared posterolateral baja y apical lateral."
    },
    {
      "id": "SCENARIO_RCA_PROX",
      "label": "Infarto inferior con extensión a Ventrículo Derecho (RCA proximal)",
      "shortLabel": "RCA Prox + VD",
      "lesionId": "RCA_PROX",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["II", "III", "aVF", "V1", "V3R", "V4R"],
      "reciprocalLeads": ["I", "aVL"],
      "stemiPattern": "inferior_RV_STEMI",
      "category": "RCA",
      "clinicalDescription": "Oclusión previa a ramas ventriculares derechas. Elevación en III > II, aVF, V1 y derivaciones derechas V3R y V4R. Descenso en I y aVL."
    },
    {
      "id": "SCENARIO_RCA_MID",
      "label": "Infarto inferior aislado (RCA media)",
      "shortLabel": "RCA Media",
      "lesionId": "RCA_MID",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["II", "III", "aVF"],
      "reciprocalLeads": ["I", "aVL"],
      "stemiPattern": "inferior_STEMI",
      "category": "RCA",
      "clinicalDescription": "Cara diafragmática de VI sin afectación de ventrículo derecho. Elevación en III > II, aVF."
    },
    {
      "id": "SCENARIO_RCA_DISTAL",
      "label": "Infarto inferior basal / pre-crux (RCA distal)",
      "shortLabel": "RCA Distal",
      "lesionId": "RCA_DISTAL",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["II", "III", "aVF"],
      "reciprocalLeads": ["aVL"],
      "stemiPattern": "inferior_distal_STEMI",
      "category": "RCA",
      "clinicalDescription": "Oclusión en el tercio distal previo a la cruz del corazón."
    },
    {
      "id": "SCENARIO_AM_ISOLATED",
      "label": "Infarto aislado de Ventrículo Derecho (Rama Marginal Aguda / AM)",
      "shortLabel": "AM / VD Aislado",
      "lesionId": "AM_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V1", "V3R", "V4R"],
      "reciprocalLeads": [],
      "stemiPattern": "isolated_RV_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Compromiso aislado de la pared libre del ventrículo derecho sin infarto inferior de VI. Elevación en V1, V3R y V4R."
    },
    {
      "id": "SCENARIO_PDA_PROX",
      "label": "Infarto posterior / ínfero-septal (PDA proximal)",
      "shortLabel": "PDA Proximal",
      "lesionId": "PDA_PROX",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V7", "V8", "V9", "III", "aVF", "II"],
      "reciprocalLeads": ["V1", "V2", "V3"],
      "stemiPattern": "posterior_inferoseptal_STEMI",
      "category": "RCA",
      "clinicalDescription": "Cara inferoseptal y posterior. En dominancia derecha depende de RCA; en dominancia izquierda de LCx."
    },
    {
      "id": "SCENARIO_PLB_ISOLATED",
      "label": "Infarto póstero-basal (Ramo Posterolateral / PLB)",
      "shortLabel": "PLB Aislada",
      "lesionId": "PLB_ISOLATED",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V7", "V8", "V9", "II", "aVF", "V6"],
      "reciprocalLeads": ["V1", "V2"],
      "stemiPattern": "posterobasal_STEMI",
      "category": "BRANCHES",
      "clinicalDescription": "Pared inferolateral basal y posterior."
    },
    {
      "id": "SCENARIO_POSTERIOR_STRICT",
      "label": "Infarto posterior estricto aislado",
      "shortLabel": "Posterior Estricto",
      "lesionId": "POSTERIOR_STRICT",
      "severity": 100,
      "flowRate": 0.05,
      "perfusion": 0.1,
      "affectedLeads": ["V7", "V8", "V9"],
      "reciprocalLeads": ["V1", "V2", "V3"],
      "stemiPattern": "posterior_strict_STEMI",
      "category": "SPECIAL_OMI",
      "clinicalDescription": "Infarto posterior verdadero. Imagen en espejo en derivaciones anteriores V1-V3 (ST descendido horizontal, onda R alta R/S > 1 y T positiva) con elevación franca en V7-V9."
    },
    {
      "id": "SCENARIO_DE_WINTER",
      "label": "Patrón de de Winter (Equivalente OMI de LAD proximal)",
      "shortLabel": "de Winter",
      "lesionId": "DE_WINTER",
      "severity": 95,
      "flowRate": 0.1,
      "perfusion": 0.2,
      "affectedLeads": ["aVR", "V1", "V2", "V3", "V4", "V5", "V6"],
      "reciprocalLeads": [],
      "stemiPattern": "de_winter_OMI",
      "category": "SPECIAL_OMI",
      "phenotype": "DE_WINTER",
      "clinicalDescription": "Oclusión crítica subtotal de LAD. Descenso del ST en punto J con pendiente ascendente (1-3 mm) y ondas T hiperagudas altas, picudas y simétricas en precordiales (V1-V6) + elevación en aVR (0.5-1 mm)."
    },
    {
      "id": "SCENARIO_WELLENS_TYPE_A",
      "label": "Síndrome de Wellens Tipo A (Estenosis crítica LAD proximal)",
      "shortLabel": "Wellens Tipo A",
      "lesionId": "WELLENS_TYPE_A",
      "severity": 90,
      "flowRate": 0.25,
      "perfusion": 0.4,
      "affectedLeads": ["V2", "V3"],
      "reciprocalLeads": [],
      "stemiPattern": "wellens_type_a_critical_stenosis",
      "category": "SPECIAL_OMI",
      "phenotype": "WELLENS_TYPE_A",
      "clinicalDescription": "Estenosis >90% de LAD proximal en periodo de reperfusión/reposo. Ondas T bifásicas (+/-) en V2 y V3 sin elevación significativa del ST ni onda Q. Requiere cateterismo urgente para prevenir IAM masivo."
    },
    {
      "id": "SCENARIO_WELLENS_TYPE_B",
      "label": "Síndrome de Wellens Tipo B (Estenosis crítica LAD proximal)",
      "shortLabel": "Wellens Tipo B",
      "lesionId": "WELLENS_TYPE_B",
      "severity": 90,
      "flowRate": 0.25,
      "perfusion": 0.4,
      "affectedLeads": ["V2", "V3", "V4"],
      "reciprocalLeads": [],
      "stemiPattern": "wellens_type_b_critical_stenosis",
      "category": "SPECIAL_OMI",
      "phenotype": "WELLENS_TYPE_B",
      "clinicalDescription": "Estenosis >90% de LAD proximal. Ondas T profundamente invertidas, simétricas y negativas en V2-V4 con ST isoeléctrico en paciente sin dolor torácico en reposo."
    },
    {
      "id": "SCENARIO_LBBB_SGARBOSSA",
      "label": "SCACEST con Bloqueo de Rama Izquierda (Criterios de Sgarbossa Modificados)",
      "shortLabel": "BRI + Sgarbossa",
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