New AI tool aims to prevent dangerous drops in blood pressure during heart surgery
NCT ID NCT05083403
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a software tool called the Hypotension Prediction Index (HPI) in 170 adults undergoing heart surgery with a heart-lung machine. The tool alerts doctors when a patient's blood pressure is likely to drop dangerously low. The goal was to see if using this tool could shorten the time patients spend with low blood pressure in the operating room and intensive care unit. The trial was terminated early, so its full impact is unknown.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Acumen HPI software (a prediction tool) used with standard monitoring equipment
- What this could lead to
- If successful, this tool could help doctors prevent dangerously low blood pressure during and after heart surgery, potentially reducing complications.
- What could go wrong
- The trial was terminated early, so results are limited. The tool only predicts risk; it does not treat hypotension itself, and its benefit in real-world settings remains unproven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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170 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Sep 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects who are at least 18 years of age 2. Subjects who have signed the Informed Consent Form 3. Subjects with planned pressure monitoring with an arterial line 4. Subjects with planned sternotomy 5. Subjects with planned general anesthesia 6. Subjects who have ASA Physical Status ≤ 4 7. Subjects with planned cerebral oximetry monitoring 8. Subjects with planned overnight hospitalization 9. Subjects with planned cardiopulmonary bypass (CPB) "on-pump" surgery Exclusion Criteria: 1. Subjects with a physical site area too limited for proper Sensor placement 2. Subjects with contraindications for Arterial Line Placement; 3. Subjects participating in another (interventional) study 4. Subjects in whom an intraoperative MAP target will be \< 65 mmHg 5. Subjects with pre-op or pre-pump or post-pump LVEF \< 15% 6. Subjects requiring heart transplant 7. Subjects with pre-existing circulatory support devices or planned circulatory support devices post-bypass 8. Subjects requiring emergency surgery 9. Subjects with known or identified severe PAH (defined as pulmonary systolic pressure\> 70mmHg or mean pressures \> 55mmHg) as determined by a pre-operative echo or intraoperative Swan-Ganz 10. Subjects with cardiovascular instability in the operating room necessitating the need to go back on bypass for a subsequent run
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27157-1009, United States
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