Multiparametric Stress Echocardiography

Myocardial contrast echocardiography (MCE) is recommended for the analysis of myocardial perfusion during pharmacological stress echocardiography. This chapter is aligned to the EACVI core syllabus edition 2013, the Clinical practice of contrast echocardiography: recommendation by the European Association of Cardiovascular Imaging (EACVI) 2017 and the 2018 American Society of Echocardiography Focused Update Regarding Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography. Following the basics of myocardial perfusion the appropriate machine settings, detailed information is provided on how to perform and interpret a vasodilator stress study with MCE, the criteria of perfusion defects and imaging artefacts as well as the impact of the MCE results on clinical management.