Assessing heart function changes after diuretic treatment in heart failure patients
Official title: Change in Stroke Volume Index After Diuresis for Patients With Decompensated Heart Failure
Run by NYU Langone Health · NCT05240651 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if a new way to monitor heart function can help doctors better manage fluid levels in patients with heart failure who need diuretics.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | NYU Langone Health Academic / other |
| Locations | 1 site (New York, New York) |
| Trial ID | NCT05240651 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults diagnosed with acute decompensated heart failure requiring intravenous diuretics and admitted to a cardiac care unit.
✕Probably not a fit
Patients who are pregnant, under 18, or have end-stage renal disease may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study involves 50 patients admitted to the cardiac care unit who require diuretic therapy for acute decompensated heart failure. It aims to evaluate the effectiveness of non-invasive cardiac output monitoring using the Starling Fluid Management System to assess volume status in these patients. Participants will be monitored for changes in stroke volume index following diuresis, providing insights into fluid management in heart failure treatment. The study focuses on patients who are expected to need intravenous diuretics for more than 24 hours.
Why it matters
Potential benefit: If successful, this study could improve the management of fluid status in patients with acute decompensated heart failure, leading to better treatment outcomes.
How similar studies have gone: Similar studies using non-invasive monitoring techniques have shown promise in managing heart failure, suggesting potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Diagnosis of congestive acute decompensated heart failure (preserved or reduced ejection fraction) requiring clinically indicated IV diuresis 2. Admission to coronary/cardiac intensive care unit or cardiac step down unit 3. Able to provide written informed consent 4. Anticipated need for IV diuretics \> 24 hrs Exclusion Criteria: 1. Prisoner, pregnancy or post-partum stage, or age \< 18 years 2. Known allergy to sensory material or gel 3. End stage renal disease or need for CRRT 4. Inability or contraindication to do a passive leg raise with both extremities (i.e., balloon pump, impella, spinal injury, amputation) 5. Other situation that might increase subject risk, interfere with study procedures, or confound study findings based on the opinion of the clinician/investigator 6. Inability to provide informed consent
Where it's running
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NYU Langone Health
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Carlos Alviar, MD — NYU Langone Health
- Study coordinator: Carlos Alviar, MD
- Email: carlos.alviar@nyulangone.org
- Phone: 212-263-6635
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Evaluating a noninvasive tissue sensor to detect cardiogenic shock earlier in heart patients
This pilot, noninvasive study tests whether the NIRSense wearable can help detect deterioration in adults with cardiogenic shock risk due to heart attack or heart failure.
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BEAT-SHOCK: Baseline Registry for Acute Cardiogenic Shock at Basel
This registry collects and shares data on adults with cardiogenic shock admitted to University Hospital Basel to help understand how these patients are treated and how they fare.
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Daily lung ultrasound to see if it shortens hospital stays for adults with acute decompensated heart failure
This study tests whether daily lung ultrasound can shorten hospital stays and reduce readmissions for adults with acute decompensated heart failure.
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Adding extra diuretics to standard care for acute decompensated heart failure
This trial will test whether adding empagliflozin, acetazolamide, or metolazone to loop diuretics helps adults hospitalized with acute decompensated heart failure remove fluid and feel better.
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Acetazolamide versus metolazone added to usual diuretics for acute decompensated heart failure
This trial will test whether adding acetazolamide or metolazone to standard diuretics works better and is safer for adults hospitalized with acute decompensated heart failure.
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Fluid removal with the Reprieve System for acute decompensated heart failure
This trial will test whether the Reprieve System removes excess fluid more effectively than standard IV diuretics in adults hospitalized with acute decompensated heart failure who are at risk for diuretic resistance.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.