“…"Haemaccel" (Hoechst) is a gelatin-based solution, still commercially available in Europe, that is effective clinically as an echo contrast enhancer, giving contrast that lasts for as long as 60 seconds [33,34]. Unfortunately, mild transient sideeffects (transient second degree atrio-ventricular block, QRS axis deviation, transient T wave changes) were always present in a few patients, although the majority (21 of 25), experienced no significant electrocardiographic changes [30]. Berwing et al [35,36] tested a new ECM based on a commercially available agent, "Gelifundol" (Biotest Pharma ERG), consisting of 5.4% oxypolygelatin, widely used outside the USA as a plasma substitute.…”