Cardiac imaging procedures and the COVID-19 pandemic: recommendations of the European Society of Cardiovascular Radiolog

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Cardiac imaging procedures and the COVID-19 pandemic: recommendations of the European Society of Cardiovascular Radiology (ESCR) Dietrich Beitzke1 · Rodrigo Salgado2   · Marco Francone3 · Karl‑Friedrich Kreitner4 · Luigi Natale5 · Jens Bremerich6 · Matthias Gutberlet7 · Ellie Mousseaux8 · Konstantin Nikolaou9 · Charles Peebles10 · Birgitta Velthuis11 · Rozemarijn Vliegenthart12 · Christian Loewe1 · Tilman Emrich4,13,14 · Executive Committee of the European Society of Cardiovascular Radiology (ESCR): · Natale Luigi · Gutberlet Matthias · Vliegenthart Rozemarijn · Nikolaou Konstantin · Francone Marco · Loewe  Christian · Velthuis Brigitta · Salgado Rodrigo · Peebles Charles · Mousseaux Ellie Received: 11 May 2020 / Accepted: 18 May 2020 © The Author(s) 2020

Abstract The severe acute respiratory syndrome coronavirus 2019 (SARS-CoV-2) pandemic currently constitutes a significant burden on worldwide health care systems, with important implications on many levels, including radiology departments. Given the established fundamental role of cardiovascular imaging in modern healthcare, and the specific value of cardiopulmonary radiology in COVID-19 patients, departmental organisation and imaging programs need to be restructured during the pandemic in order to provide access to modern cardiovascular services to both infected and non-infected patients while ensuring safety for healthcare professionals. The uninterrupted availability of cardiovascular radiology services remains, particularly during the current pandemic outbreak, crucial for the initial evaluation and further follow-up of patients with suspected or known cardiovascular diseases in order to avoid unnecessary complications. Suspected or established COVID-19 patients may also have concomitant cardiovascular symptoms and require further imaging investigations. This statement by the European Society of Cardiovascular Radiology (ESCR) provides information on measures for safety of healthcare professionals and recommendations for cardiovascular imaging during the pandemic in both non-infected and COVID-19 patients. Keywords  SARS-Cov-2 · COVID-19 · Cardiac magnetic resonance · Cardiovascular computed tomography · Safety

Introduction The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) leading to the current Coronavirus disease (COVID-19) pandemic is putting high pressure on healthcare systems in several countries in both hemispheres. The start and progression of the pandemic varies between regions and countries, with some countries outside China currently making phased and tightly-regulated attempts to The members of the Executive Committee of the European Society of Cardiovascular Radiology (ESCR) are listed in Acknowledgement section. * Rodrigo Salgado [email protected] Extended author information available on the last page of the article

ease previously imposed social restrictions. However, many experts argue that this disease may be part of public life for many months to come, requiring a long-term plan to cope with a varying inf