Guidelines & Standards

Permission to reuse figures or text from ASE guideline documents may be obtained through ScienceDirect/Rightslink.  Reprints may be obtained from Elsevier:  less than 250 copies; for more than 250 copies, please contact reprints@elsevier.com. NOTICE AND DISCLAIMER:  These reports are made available by ASE as a courtesy reference source for its members. The reports contain recommendations only and should not be used as the sole basis to make ical practice decisions or for disciplinary action against any employee. The statements and recommendations contained in these reports are primarily based on the opinions of experts, rather than on scientifically-verified data. ASE makes no express or implied warranties regarding the completeness or accuracy of the information in these reports, including the warranty of merchantability or fitness for a particular purpose. In no event shall ASE be liable to you, your patients, or any other third parties for any decision made or action taken by you or such other parties in reliance on this information. Nor does your use of this information constitute the offering of ical advice by ASE or create any physician-patient relationship between ASE and your patients or anyone else.

For translated guideline documents (Mandarin, Spanish and Portuguese), please visit here.

DISEASE-BASED

New Document 

Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial Disease, JASE, September 2013

Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Hypertrophic CardiomyopathyJASE, May 2011

CARDIO-ONCOLOGY

New Document

Expert Consensus for Multi-Modality Imaging Evaluation of Cardiovascular Complications of Radiotherapy in Adults: A Report from the European Association of Cardiovascular Imaging and the American Society of Echocardiography, JASE, September 2013

PERIOPERATIVE/TEE

New Document

Guidelines for Performing a Comprehensive Transesophageal Echocardiography Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, September 2013

Basic Perioperative Transesophageal Echocardiography Examination: A Consensus Statement of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, May 2013

Guidelines for the Performance of a Comprehensive Intraoperative Epiaortic Ultrasonographic Examination, JASE, November 2007  

Guidelines for Performing a Comprehensive Epicardial Echocardiography Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, April 2007

ASE/SCA Recommendations and Guidelines for Continuous Quality Improvement in Perioperative Echocardiography, JASE, November 2006

ASE Indications and Guidelines for Performance of Transesophageal Echocardiography in the Patient with Pediatric Acquired or Congenital Heart Disease, JASE, January 2005

ASE and SCA Task Force Guidelines for Training in Perioperative Echocardiography, JASE, June 2002.

ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Examination, JASE, October 1999

FOCUSED CARDIAC ULTRASOUND NEW DOCUMENT

Focused Cardiac Ultrasound: Recommendations from the American Society of EchocardiographyJASE, June 2013

Focused Cardiac Ultrasound in the Emergent Setting: A Consensus Statement of the American Society of Echocardiography and American College of Emergency PhysiciansJASE, December 2010

Hand-carried Ultrasound Device: Recommendations Regarding New TechnologyJASE, April 2002 [ASE Position Statement Addendum]

Echocardiography in Emergency Medicine: A Policy Statement by the ASE and the ACCJASE, January 1999

3D ECHOCARDIOGRAPHY

Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography, JASE, January 2012

3D Echocardiography: A Review of the Current Status and Future Directions, JASE, March 2007

VALVES

Recommendations for the Use of Echocardiography in New Transcatheter Interventions for Valvular Heart Disease, JASE, September 2011

Recommendations for Evaluation of Prosthetic Valves With Echocardiography and Doppler Ultrasound, JASE, September 2009 ♦   A Chinese translation of this document is available.

Echocardiographic Assessment of Valve Stenosis: EAE/ASE Recommendations for Clinical Practice, JASE, January 2009 Document Errata: 1. On Page 9, 3rd paragraph on left: The dose of dobutamine for dobutamine stress echo for evaluating low gradient aortic stenosis is mentioned as “2.5 or 5m/kg/min with an incremental increase in the infusion every 3-5 min to a maximum dose of 10-20 mg/kg/min.” The mg is a typographical error and should be mcg/kg/min or ug/kg/min. 2. Page 14: The formula on left in section B.1.5: MVA = π (r2 )(V…etc.) is incorrect.  The correct formula is MVA = 2π (r2 )(V…etc.).

Recommendations for Evaluation of the Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography, JASE, July 2003

MULTIMODALITY DOCUMENTS

New Document

Multimodality Imaging Guidelines for Patients with Repaired Tetralogy of Fallot:  A Report from the American Society of Echocardiography, JASE, February 2014

New Document

Expert Consensus for Multi-Modality Imaging Evaluation of Cardiovascular Complications of Radiotherapy in Adults: A Report from the European Association of Cardiovascular Imaging and the American Society of EchocardiographyJASE, September 2013

New Document

Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial DiseaseJASE, September 2013

Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Hypertrophic Cardiomyopathy, JASE, May 2011.

RESYNCHRONIZATION / MECHANICS

Current and Evolving Echocardiographic Techniques for the Quantitative Evaluation of Cardiac Mechanics: ASE/EAE Consensus Statement on Methodology and Indications, JASE, March 2011

Echocardiography for Cardiac Resynchronization Therapy: Recommendations for Performance and Reporting–A Report from the American Society of Echocardiography Dyssynchrony Writing Group, JASE, March 2008

APPROPRIATE USE CRITERIA

ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriateness Use Criteria for Echocardiography document, JASE, March 2011

ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 Appropriateness Criteria for Stress Echocardiography

This document has been replaced by the 2011 Appropriateness Use Criteria for Echocardiography document.

ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 Appropriateness Criteria for Transthoracic and Transesophageal Echocardiography

This document has been replaced by the 2011 Appropriateness Use Criteria for Echocardiography document.

REPORTING / QUALITY

American Society of Echocardiography Recommendations for Quality Echocardiography Laboratory Operations, JASE, January 2011

ASE Guidelines and Recommendations for Digital Echocardiography, JASE, March 2005

Recommendations for a Standardized Report for Adult Transthoracic Echocardiography, JASE, September 2001

Recommendations for CQI in Echocardiography, JASE, September-October 1995 (See American Society of Echocardiography Recommendations for Quality Echocardiography Laboratory Operations, JASE, January 2011)

VASCULAR

Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, December 2011

Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force Endorsed by the Society for Vascular Medicine, JASE, February 2008

Clinical Application of Noninvasive Vascular Ultrasound in Cardiovascular Risk Stratification: A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology, JASE, August 2006

Guidelines for Noninvasive Vascular Laboratory Testing: A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology, JASE, August 2006

CHAMBER QUANTIFICATION

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography, JASE, July 2010 Document Errata: 1. Page 686, last line should read “mm indicate at end-systole RA enlargement.” 2. Page 699, section C, Mean PA Pressure, sentence beginning at line 8 of that section should read: “Generally, the shorter the AT (measured from the onset of flow on the pulsed Doppler envelope in the RVOT to the peak pulmonary flow velocity in the same envelope), the higher the PVR and hence the PA pressure, provided the heart rate is in the normal range of 60 to <100 beats/mins.”

Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council, JASE, May 2010 A Chinese translation of this document is available.

Recommendations for Chamber Quantification, JASE, December 2005 The Chinese and Spanish translations of this document are available here.

Current and Evolving Echocardiographic Techniques for the Quantitative Evaluation of Cardiac Mechanics: ASE/EAE Consensus Statement on Methodology and Indications, JASE, March 2011

RESEARCH

Current and Evolving Echocardiographic Techniques for the Quantitative Evaluation of Cardiac Mechanics: ASE/EAE Consensus Statement on Methodology and Indications, JASE, March 2011

Echocardiographic Imaging in Clinical Trials: American Society of Echocardiography Standards for Echocardiography Core Laboratories, JASE, July 2009

ASE Recommendations for Use of Echocardiography in Clinical Trials, JASE, October 2004

ECHO-GUIDED INTERVENTIONS

Recommendations for the Use of Echocardiography in New Transcatheter Interventions for Valvular Heart Disease, JASE, September 2011

ASE Recommendations for Clinical Practice: Echocardiography-Guided Interventions, JASE, March 2009

LEFT VENTRICULAR DIASTOLIC FUNCTION

Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography, JASE, February 2009

A Chinese translation of this document is available.

CONTRAST ECHOCARDIOGRAPHY

ASE Consensus Statement on the Clinical Applications of Ultrasonic Contrast Agents in Echocardiography, JASE, November 2008

Guidelines for the Cardiac Sonographer in the Performance of Contrast Echocardiography: Recommendations of the ASE Council on Cardiac Sonography, JASE, May 2001

PEDIATRIC / FETAL / CONGENITAL / NEONATAL

New Document

Multimodality Imaging Guidelines for Patients with Repaired Tetralogy of Fallot:  A Report from the American Society of Echocardiography, JASE, February 2014

Targeted Neonatal Echocardiography in the Neonatal Intensive Care Unit: Practice Guidelines and Recommendations for Training, JASE October 2011

Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council, JASE, May 2010

Guidelines and Standards for Performance of a Pediatric Echocardiogram: A Report from the Task Force of the Pediatric Council of the American Society of Echocardiography, JASE, December 2006

ASE Indications and Guidelines for Performance of Transesophageal Echocardiography in the Patient with Pediatric Acquired or Congenital Heart Disease, JASE, January 2005

ASE Guidelines and Standards for the Performance of the Fetal Echocardiogram, JASE, July 2004

INTRAOPERATIVE / TEE

Guidelines for Performing a Comprehensive Epicardial Echocardiography Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, April 2007

ASE/SCA Recommendations and Guidelines for Continuous Quality Improvement in Perioperative Echocardiography, JASE, November 2006

ASE Indications and Guidelines for Performance of Transesophageal Echocardiography in the Patient with Pediatric Acquired or Congenital Heart Disease, JASE, January 2005

ASE and SCA Task Force Guidelines for Training in Perioperative Echocardiography, JASE, June 2002

ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Examination, JASE, October 1999

STRESS ECHOCARDIOGRAPHY

American Society of Echocardiography Recommendations for Performance, Interpretation, and Application of Stress Echocardiography, JASE, September 2007 .

A Spanish translation of this document is available.

CARDIOVASCULAR SONOGRAPHY

ASE Minimum Standards for the Cardiac Sonographer: A Position Paper, November 2005

Proposed Local Coverage Determination (LCD) Language Relating To Laboratory Accreditation and Physician and Sonographer Qualifications for Transthoracic Echocardiography, April 2005

Guidelines for the Cardiac Sonographer in the Performance of Contrast Echocardiography: Recommendations of the ASE Council on Cardiac Sonography, JASE, May 2001

Guidelines for Cardiac Sonography Education, JASE, January 2001

TRAINING

Guidelines for Performing a Comprehensive Epicardial Echocardiography Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists, JASE, April 2007

ASE Minimum Standards for the Cardiac Sonographer: A Position Paper, November 2005

PROPOSED LOCAL COVERAGE DETERMINATION (LCD) LANGUAGE RELATING TO LABORATORY ACCREDITATION AND PHYSICIAN AND SONOGRAPHER QUALIFICATIONS FOR TRANSTHORACIC ECHOCARDIOGRAPHY Hand-carried Ultrasound Device: Recommendations Regarding New Technology, April 2002 [ASE Position Statement Addendum]

DOPPLER

Recommendations for Quantification of Doppler Echocardiography: A Report from the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography, JASE, February 2002


Documents Endorsed by ASE View documents


Permission to reuse portions of ASE guideline documents may be obtained from RIGHTSLINK.  Reprints may be obtained from Elsevier:  less than 250 copies; for more than 250 copies, please contact reprints@elsevier.com. NOTICE AND DISCLAIMER:  These reports are made available by ASE as a courtesy reference source for its members. The reports contain recommendations only and should not be used as the sole basis to make ical practice decisions or for disciplinary action against any employee. The statements and recommendations contained in these reports are primarily based on the opinions of experts, rather than on scientifically-verified data. ASE makes no express or implied warranties regarding the completeness or accuracy of the information in these reports, including the warranty of merchantability or fitness for a particular purpose. In no event shall ASE be liable to you, your patients, or any other third parties for any decision made or action taken by you or such other parties in reliance on this information. Nor does your use of this information constitute the offering of ical advice by ASE or create any physician-patient relationship between ASE and your patients or anyone else.