Clinical Solutions
One overlooked cause. Seven clinical applications.
Hypertension
Beyond the numbers.
The Evolution of Blood Pressure Management
NICaS guides you through distinct physiological treatment pathways, ensuring you treat the underlying cause of hypertension:
High Cardiac Output
Hyperdynamic circulation. The heart is pumping too much volume, raising the pressure.
High Peripheral Resistance
Vasoconstriction. Tight vessels are forcing the heart to work harder against high resistance.
Fluid Overload
Excess intravascular fluid volume driving up the pressure, independent of pump function.
Traditional Clinic
What We Know
The symptom (high blood pressure). Basic electrical function (ECG). General risk factors.
What's Missing
The physiological driver. Is the pump working too hard, or are the vessels too tight?
Truevitals NICaS Clinic
= Physiology-Guided Decisions
Target the specific cause, confirm response immediately, and reach BP goals sooner.
92% BP Control
Reported by the second visit when therapy was guided by hemodynamics.
Based on a real-world observational cohort (American Journal of Medicine, 2026), not randomized-controlled-trial endpoints.
Heart Failure
Manage the physiology, not just the symptoms.
NICaS supports hemodynamic- and volume-guided heart failure management. By profiling cardiac output, vascular resistance, cardiac power, and total body water in a single non-invasive test and tracking the trend across visits, it helps clinicians tailor therapy to each patient's physiology rather than symptoms alone, and monitor response over time.
The Workflow
Assessment
Exam
(CO, SV, TPR)
Decision
(Verify Response)
NICaS fits into your workflow, not the other way around.
Emergency & Critical Care
Rapid answers when minutes matter.
At the bedside, NICaS delivers a non-invasive hemodynamic picture in minutes, with no arterial line and no catheter. It helps clinicians distinguish a perfusion problem from volume overload and gauge cardiac power, a parameter shown in critical-care studies to be a strong prognostic indicator.
Rapid triage
Differentiate cardiogenic shock from volume overload with an immediate flow-and-perfusion read.
No lines, no delay
Fully non-invasive; no arterial or central line placement required.
Prognostic insight
Cardiac Power Index, a parameter associated with outcomes in critical illness.
Dialysis & Nephrology
Beyond Creatinine. Beyond eGFR. Beyond Dry Weight.
Hemodynamic profiling allows dialysis centers to track physiology across every session. Manage intradialytic hypotension and guide dry-weight decisions by confirming adequate cardiac reserve before and during treatment.
The Cardio-Renal Loop
Two organs, one closed system. Failure in one accelerates failure in the other.
The NICaS Advantage: Standard bioimpedance / body-composition monitors only measure fluid balance. NICaS measures fluid balance plus cardiac output, providing the complete loop to safely manage dry weight without causing intradialytic hypotension.
Same Weight. Different Physiology.
Two dialysis patients presenting at 75kg. Standard bioimpedance / body-composition monitors suggest both are at dry weight. NICaS reveals the true cardiovascular risk.
Compensated
Vulnerable
Preventive Cardiology
See risk before it becomes disease.
Blood pressure and risk scores describe probability; NICaS measures how the cardiovascular system is actually performing today. By quantifying cardiac output, vascular resistance, and cardiac power, it can surface functional changes early and track them over time as patients are managed.
The Evolution of Cardiac Assessment
Executive Health
The dashboard your heart deserves.
From Reactive to Proactive Care
NICaS adds a functional cardiovascular performance assessment to longevity and executive-health workups, delivering a non-invasive resting hemodynamic measurement completed in under 5 minutes.
It complements biological age, DEXA, coronary calcium scoring, MRI, and laboratory biomarkers by quantifying how the cardiovascular system is performing today, and by tracking that performance over time.
The NICaS Cardiovascular Performance Report
Overall Cardiovascular Performance Score
CompositeA comprehensive composite of the patient's functional cardiovascular performance.
Heart Performance Score
cardiac pumping performance.
Vascular Function Score
vascular resistance and arterial load.
Cardiac Power & Workload Score
myocardial workload and pumping power.
Fluid Balance Score
hydration/volume status.
Report Features & Capabilities
Hemodynamic Classification
Categorizes the patient's circulatory profile.
Automatic Clinical Interpretation
Plain-language explanation of each score.
Longitudinal Trend Analysis
Compares assessments over time to show response to lifestyle changes and interventions.
Home Monitoring
Hospital-grade hemodynamics at home.
NICaS is portable, simple to operate, and comfortable for frail patients, and its cleared intended use includes home-healthcare programs. That enables remote follow-up and confident medication titration between clinic visits.
Portable & simple
Small and quiet; a trained professional can run it in any setting.
Remote follow-up
Review results from anywhere and titrate therapy between visits.
Comfortable
Non-invasive and quick, well suited to elderly or frail patients at home.