The COVID CMR survey is a joint initiative of the Society for Cardiovascular Magnetic Resonance and the European Association of Cardiovascular Imaging. It aims to provide a rapid tool to capture the use of CMR in COVID-19 around the globe. The design of the survey is deliberately limited to a small number of data fields to allow completion by imagers on a mobile device or computer immediately after scan completion and reporting.

Please complete a separate survey for each CMR scan performed in a patient with confirmed, or a high-probability of, COVID-19 (regardless of the local COVID-19 test).
You can also complete a survey for patients you have scanned in the past.


In this survey only non-identifiable patient data are captured and individual patient consent should therefore not be required. This approach has been approved by the European Society of Cardiology. Contributors to this survey should however ensure that any required institutional approvals have been sought. Through survey contribution appropriate institutional approvals are implied.
 
Before we begin, may we just remind you of our Code of Conduct for ESC surveys?
• Your participation is anonymous.
• You have the right to end your participation in this survey at any time.
• We comply with the European General Data Protection Regulation (GDPR) 2016/679. The data will only be used by the ESC, for the purpose of market research and not for promotion, and will be kept for a maximum of 24 months. If you have any questions about data protection or require further information, please contact our data protection officer (DPO) at dpo@escardio.org.
 
 

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* 2. Age: please provide rounded to the nearest 5 years (e.g. 30, 55 years) (enter number)

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* 3. Gender

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* 4. Body mass index (kg/m2) (select one)

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* 5. Ethnicity

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* 6. Previous medical history (Select any that apply)

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* 7. COVID-19 status at time of CMR (select one)

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* 8. Was this scan performed as (select any that apply)

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* 9. Were any of the following blood biomarkers elevated above local limit (select any that apply)

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* 10. Are any volumetric measurements outside the normal range (above for volumes and mass and below for EF) (select any that apply)

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* 11. Are there any regional wall motion abnormalities in the (select if present)

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* 12. Is LGE present in the (tick if present)

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* 13. Transmural location of LGE if LGE present (select any that apply)

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* 14. Location of LGE if present (select any that apply)

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* 15. Location of LGE if present (select any that apply)

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* 16. Oedema assessment: were any of the following above local upper limit of normal if performed

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* 17. Pericardium (Select any that apply)

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* 18. Did any other organs appear abnormal on survey images (select any that apply if appropriate)

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* 19. What was the CMR diagnosis (Select any that apply)

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* 20. How did you expect the CMR scan to change patient management? (Select one)

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