CARTESIAN Study Application Form CARTESIAN Study CARTESIAN Study If you are human, leave this field blank. Name of Centre * Institute * Department * Unit * Centre Address * Centre Address Centre Address Centre Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Forename (of contact person) * Surname (of contact person) * Role * Email * Phone number * Is your centre/hospital already contributing to the WHO-ISARIC COVID 19 registry? * Yes No Is your centre/hospital taking care of COVID 19 patients? * Yes No How many patients do you estimate to recruit for this study? * Other comments Lab skills and instrumentation Please indicate below the techniques that are currently performed in your lab and devices available. Aortic blood pressure * Yes, which device/devices? Yes, which device/devices? No Click Yes for free text box to add details. Carotid-femoral pulse wave velocity * Yes - which device/devices? Yes - which device/devices? No Carotid ultrasound * Yes, which device/devices? Yes, which device/devices? No Carotid distensibility * Yes, which device/devices? Yes, which device/devices? No Cardiac ultrasound * Yes, which device/devices? Yes, which device/devices? No Flow-mediated dilation * Yes, which device/devices? Yes, which device/devices? No 24h-central or peripheral blood pressure * Yes, which device/devices? Yes, which device/devices? No Other vascular ageing measurements Submit