I'm not sure if anyone else has the same frustrations that I do with Amazing Charts in relation to the imported items. For us, the practice is working on importing all our old paper data into Amazing Charts, which causes lots and lots of attachments. This slows everything to a crawl. There are several hundred items imported every other day (or more). The thing that seems to help speed things back up is to make Amazing Utilities re-index and then restart the SQL Express service.
What I would really like is the ability to either schedule Amazing Utilities to re-index itself through Amazing Charts, OR have the "Amazing Utilities.exe" accept command line arguments such as "/optimize" and "/cleanup" and so forth.