Large and otherwise healthy fish are most prone the CMS. Photo: Trygve T Poppe. A conference on cooperation for the exchange of knowledge about the viral diseases pancreas disease (PD), cardiomyopathy syndrome (CMS) and heart and skeletal muscle inflammation (HSMI), was held for the first time digitally at the end of April. As for the previous conference in Dublin 2019, one of the main features is that CMS, a severe heart disease that primarily affects large salmon, is increasing in importance.