Heart Failure Clinical Trial
Change in Stroke Volume Index After Diuresis for Patients With Decompensated Heart Failure
This is a prospective cohort study for 50 patients admitted to the cardiac care unit requiring clinically-indicated diuretic therapy for congestive heart failure. The purpose of this study is to assess the role of non-invasive cardiac output monitoring (NICOM) with the Starling Fluid Management System (Baxter Medical, Deerfield, IL) in determining volume status in patients with acute decompensated heart failure requiring intravenous diuretic therapy.
Diagnosis of congestive acute decompensated heart failure (preserved or reduced ejection fraction) requiring clinically indicated IV diuresis
Admission to coronary/cardiac intensive care unit or cardiac step down unit
Able to provide written informed consent
Anticipated need for IV diuretics > 24 hrs
Prisoner, pregnancy or post-partum stage, or age < 18 years
Known allergy to sensory material or gel
End stage renal disease or need for CRRT
Inability or contraindication to do a passive leg raise with both extremities (i.e., balloon pump, impella, spinal injury, amputation)
Other situation that might increase subject risk, interfere with study procedures, or confound study findings based on the opinion of the clinician/investigator
Inability to provide informed consent
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