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