In this work we present the design proposal for a therapeutic specialist (T
S) in the domain of the intensive coronary care unit (ICCU) for situations
of acute myocardial infarct (AMI). This TS can be placed within a more gene
ral framework of the intelligent supervision of patients interned in an ICC
U, and it carries out two basic functions: 1) recommending to the physician
that therapy should be administered according to the state and response of
the treatment in progress; and 2) to continually monitor the evolution of
the patient with the therapy in progress, advising the physician of necessa
ry therapeutic modifications (associations with other drugs, suspension of
treatment, etc.) in order to compensate for the evolution of the patient an
d aid his recovery. Thus we present a specialist/agent architecture designe
d to carry out both functions, which is based on the identification, design
, and implementation of therapeutic tasks, on the explicit separation betwe
en knowledge of the domain and the metaknowledge necessary in order for the
coordinated accomplishment of these tasks, and on mimicking the methodolog
y followed by the physician when evaluating the monitoring of the patient's
condition.