Precision Blood Pressure Management.
A complete hemodynamic profile in under 5 minutes, allowing clinicians to treat the cause, not just the number.
The Opportunity
Blood pressure alone doesn't explain the cause.
Without a hemodynamic profile, it is incredibly difficult to tell whether high BP is driven by vasoconstriction, a hyperdynamic circulation, or a mixed profile.
The Missing Piece
Adding functional hemodynamics to routine vital signs gives you a more complete picture, leading to more confident and personalized prescribing decisions.
Uncovering Hidden Risk
Underlying hyperdynamic circulation or extreme vasoconstriction can mask severe cardiovascular risk even when numbers appear somewhat normal. NICaS reveals this physiology.
The Solution
Functional Cardiovascular Intelligence.
In minutes, NICaS turns a single non-invasive test into a complete hemodynamic profile, delivering the same class of data once available only through invasive catheterization in acute hospital care.
Physicians see whether high blood pressure is driven by volume, vascular resistance, or cardiac output, and match therapy to the actual cause.
How it works
Regional Impedance Cardiography (RIC)
NICaS utilizes the principle that blood conducts electricity better than surrounding tissue. By passing a harmless, imperceptible current through two sensors on the wrist and contralateral ankle, it measures resistance changes with each heartbeat.
The device analyzes these minute signals via proprietary algorithms to derive cardiac output and fluid parameters, providing a complete hemodynamic profile.
The Reach of NICaS
One Overlooked Cause.
Seven Clinical Applications.
Hypertension is the shared physiological driver behind cardiac risk, kidney decline, stroke, and aging. NICaS provides clarity across disciplines.
1Hypertension
Identify the true driver of high blood pressure: is it driven by elevated cardiac output, high vascular resistance, or volume overload?
2Heart Failure
Support hemodynamic and volume-guided management. Tailor therapy to each patient's exact physiology rather than symptoms alone.
3Emergency Care
Rapid triage at the bedside in minutes. Differentiate cardiogenic shock from volume overload with no lines and no delay.
4Dialysis & Nephrology
Track physiology across dialysis sessions. Manage intradialytic hypotension and confidently guide dry-weight decisions.
5Preventive Cardiology
See risk before it becomes disease. Surface functional cardiovascular changes early and track them over time to optimize care.
6Executive Health
The dashboard your heart deserves. A complete non-invasive resting hemodynamic performance assessment in under 5 minutes.
7Home Monitoring
Hospital-grade hemodynamics at home. Remotely follow up and titrate medication for frail patients between clinic visits.
Same blood pressure, different patients.
Treat the underlying physiology, not just the symptom. Consider two patients, both presenting with an identical blood pressure:
Patient A
Treatment Focus: Reduce Cardiac Output
Patient B
Treatment Focus: Reduce Resistance
"Blood pressure measures pressure.
NICaS measures why."
From Initial Diagnosis to Longitudinal Tracking
Once therapy is matched to the patient's hemodynamic profile, NICaS measures trends across subsequent visits to confirm therapeutic response and fine-tune treatment.
The NICaS Advantage
Real, tangible advantages that transform cardiovascular care delivery.
100% Non-invasive
No catheters, no risk. Completely safe for any patient.
< 5 Minute Exam
Chair-side, immediate hemodynamic report in minutes.
Seamless Workflow
Patients stay fully clothed. The exam fits effortlessly into routine clinic visits.
Easy to Operate
Any trained professional (MA, RN, or technician) can run it with a short learning curve. No sonographer required.
Cloud-Ready & Remote
One professional can review multiple patients remotely.
Portable
Small, quiet, and easily usable in any care setting.
Reveals the Cause
Reveals why the patient is unstable (volume, peripheral resistance, perfusion), not just the symptom.
One device. Every setting.
NICaS fits into your workflow, not the other way around.
In the Clinic
A routine chair-side test that fits perfectly into standard clinic workflow without requiring any extra specialized staff or dedicated procedure rooms.
In Emergencies
Enables rapid triage of cardiogenic shock vs. volume overload, delivering an immediate and accurate perfusion picture when every minute counts.
In Home Care
Compact, highly portable, and remarkably comfortable for frail patients, allowing for remote follow-up and confident medication titration at home.
Based on a real-world observational cohort, not randomized-controlled-trial endpoints.
Reported in independent studies and customer experience.
In heart-failure patients reported by major hospital users.
Fast, operator-independent results with no undressing.
Clinical Insights at a Glance
Seven core hemodynamic, vascular, and fluid parameters derived simultaneously in a single non-invasive test.
Granov-Goor Index (GGI)
A signature non-invasive index for assessing left ventricular systolic performance and contractility. Validated in clinical trials with 89% sensitivity and 96% specificity for detecting LV dysfunction without echocardiography.
Stroke Volume & Index (SV/SVI)
Measures the exact volume of blood ejected per beat, providing immediate, actionable guidance on fluid responsiveness and inotropic titration.
Cardiac Output & Index (CO/CI)
The primary measure of global cardiac performance and systemic blood flow, ensuring organs receive adequate and sustained oxygen delivery.
Total Peripheral Resistance (TPR)
Determines whether blood pressure changes are driven by arterial vasoconstriction or vasodilation, enabling targeted vasoactive prescribing.
Total Body Water (TBW)
Accurately quantifies fluid overload or intravascular depletion, providing essential volume guidance for heart failure and dialysis care.
Cardiac Power Index (CPI)
Evaluates cardiac pumping performance using the Cardiac Power Index and functional reserve, a potent prognostic indicator in acute cardiovascular care.
Heart Rate (HR)
Provides continuous baseline chronotropic assessment integrated seamlessly with flow, volume, and vascular resistance parameters.
The NICaS Ecosystem
More than a device, NICaS is a complete platform for managing cardiovascular health.
Knowledge Center
Clinical, training, and marketing resources, Q&A videos, and simulator access.
Dashboard
Cloud platform for managing multiple test results and devices from anywhere seamlessly.
Simulator
Real-world test scenarios to optimize training and ensure rapid operator certification.
Clinical Decision Support
Hemodynamic profiling and interpretation aids that help physicians match therapy to each patient's physiology. NICaS informs the decision — the clinician always makes the final call.
Measure Cardiovascular Performance Beyond Blood Pressure
Non-invasive hemodynamic assessment providing actionable cardiovascular insights for hypertension, heart failure, dialysis, emergency care, longevity and preventive medicine.
Contact UsBetter Insight
See the functional cause
Better Decisions
Data-driven therapy
Better Control
Hit targets faster
Better Lives
Improved patient outcomes
Cleared or registered in 10+ countries worldwide