An ultrasound image acquisition device initiates acquisition of anatomical images of a portion of patient anatomy in response to a heart rate related synchronization signal. The ultrasound image acquisition device includes multiple ultrasound transducers for generating sound waves. The ultrasound transducers are arranged in different transducer groups oriented to enable acquisition of different ultrasound imaging information used in generating a single composite ultrasound image. A synchronization processor derives the heart rate related synchronization signal from a patient cardiac function blood flow related parameter. The synchronization signal enables adaptive activation of a particular group of the different transducer groups for acquisition of ultrasound imaging information used in generating the single composite ultrasound image. A display processor presents the single composite ultrasound image, acquired by the ultrasound image acquisition device, to a user on a reproduction device.
