There is a need to provide high quality and timely, clinically relevant cardiovascular education. In an effort to provide an overview of UEAs and the types of UEA available in the United States; we will review the historical safety data on UEAs. Discuss current approaches toward adverse reactions. Evaluate indications for UEA use and evidence base for efficacy in practice. This will provide Physicians and Sonographers with current information and data to make informed decisions in their clinical settings.