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. 2024 May 28;21(5):475–505. doi: 10.26599/1671-5411.2024.05.001

Table 6. General Settings for Stress Myocardial Contrast Echocardiography.

Parameters Settings
Focus Optimal resolution for the entire left ventricle is achieved by setting at the mitral valve level, reducing swirling artifacts at the apex; if the apical resolution is poor, adjust to improve apical visualization.
Mechanical index Low Mechanical Index (MI) Harmonic Imaging: 0.25-0.3.
Very Low Mechanical Index Multipulse Imaging: 0.1-0.2.
Gain/time gain compensation Gain: 60%-70%, balancing imaging quality and signal-to-noise ratio, with slight increase in near-field TGC as needed.
Frame rate Frame rate generally 20-25 fps, can be increased to 25-30 fps for rapid heart rates.
Flash MI setting greater than 0.8, 5-6 frames at rest, 10-15 frames post-stress.