The American Society of Echocardiography (ASE) is looking forward to being actively engaged as a member of the Choosing Wisely® campaign and is dedicated to working with our campaign partners to foster the safe, effective and appropriate use of ultrasound. ASE believes that highlighting the proper application of appropriate use (AUC) guidelines will enable referring physicians and their patients to make more informed decisions, and enable a more cost-effective use of health care resources. Since 1976, ASE has been leading the field in urging quality in cardiovascular imaging through the development of clinical guidelines, professional education and patient outreach. As the largest global organization for cardiovascular ultrasound imaging, ASE is comprised of over 15,000 physicians, sonographers, nurses and scientists. ASE provides guidance, expertise and education to its members to improve the practice of ultrasound of the heart and cardiovascular system for better patient outcomes. Publishing over 80 guidelines on best practices and standards for clinical decision-making, ASE is committed to providing resources to health practitioners to facilitate the incorporation of quality and appropriateness into the practice of cardiovascular medicine.