Clinical practice of contrast echocardiography: recommendation by the European Association of Cardiovascular Imaging (EACVI) 2017

Eur Heart J Cardiovasc Imaging. 2017 Nov 1;18(11):1205-1205af. doi: 10.1093/ehjci/jex182.


Contrast echocardiography is widely used in cardiology. It is applied to improve image quality, reader confidence and reproducibility both for assessing left ventricular (LV) structure and function at rest and for assessing global and regional function in stress echocardiography. The use of contrast in echocardiography has now extended beyond cardiac structure and function assessment to evaluation of perfusion both of the myocardium and of the intracardiac structures. Safety of contrast agents have now been addressed in large patient population and these studies clearly established its excellent safety profile. This document, based on clinical trials, randomized and multicentre studies and published clinical experience, has established clear recommendations for the use of contrast in various clinical conditions with evidence-based protocols.

Keywords: contrast agents; contrast echocardiography; echocardiography; left ventricular function; left ventricular structure; myocardial contrast echocardiography; safety of contrast agents; stress echocardiography.

Publication types

  • Practice Guideline

MeSH terms

  • Cardiovascular Diseases / diagnostic imaging*
  • Echocardiography / methods*
  • Europe
  • Evidence-Based Medicine
  • Humans