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RecruitingNCT04843371Updated Mar 5, 2026

PPG to Predict Ejection Fraction and Other Echographic Data in the General Population

An observational study in Valvular Heart Disease, Pericardial Disease and Cardiomyopathies, sponsored by Tulane University. Recruiting at 3 sites in United States. Open to participants aged 18 Years to 120 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by Tulane University · Observational

From the registry’s dates

  • Started Aug 2021; still recruiting 5 years 1 month later.
Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
500
Ages
18 Years to 120 Years
Sex
All
01

Study summary

The investigators are aiming to investigate the association between ejection fraction (EF) determined by echocardiography and signals obtained from Photoplethysmography (PPG) in the general population. The investigators are also aiming to investigate the association between blood pressure and signals obtained from PPG in the general population.

Finally, the investigators are also aiming to investigate the association between signals obtained from PPG in the general population to cardioechographic findings such as, valvular heart disease, structural heart diseases, cardiomyopathies, pericardial disease etc.

Read the detailed description

The investigators are proposing a cross-sectional cohort study, where any individual, 18 years old or older, scheduled for an echocardiography at Tulane University's outpatient cardiology clinic can be included. After consenting participants, information on their demographics, personal health habits, medications, and medical history will be collected via reviewing, their electronic medical health records. All participants will undergo an echocardiography as part of their routine medical care by their treating physician. Important echocardiographic findings will be noted such as, EF, valvular heart disease, pericardial disease, cardiomyopathies and structural heart disease. Additionally, PPG recordings will be collected simultaneously while performing echography using the Biostrap wristband.

The investigators will analyze the association between each echographic imaging feature, and the PPG waveform obtained. PPG waveform features will be used to develop a predictive model capable of calculating an estimate of ventricular ejection fraction without echocardiography. All echocardiograms will be performed by experienced operators at Tulane Medical Center facilities. The study will occur at a single study site Tulane Medical Center and clinics, with appropriate facilities and equipment to conduct the study accurately and safely.

An experienced echocardiogram technician or cardiology fellow will collect the PPG recordings using the Biostrap application. De-identified echocardiogram reports, including information on LVEF will be matched with the participant's pulse report.

02

Conditions studied

  • Valvular Heart Disease
  • Pericardial Disease
  • Cardiomyopathies

Keywords

  • Structural heart disease
  • Photoplethysmography
  • Ejection Fraction
03

In context

Heart Valve Diseases

535 studies on the registry are indexed under Heart Valve Diseases; 173 are open to participants now.

This study's planned enrollment of 500 is above the median of 300 across 232 observational studies indexed under Heart Valve Diseases.

Browse Heart Valve Diseases studies →

Lead sponsor

Tulane University is the lead sponsor of 98 studies on the registry; 30 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 5 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

All patients undergoing an echocardiogram at Tulane Medical Center may be asked to participate in the study.

Inclusion criteria

  • Male or Female aged18 years or older.
  • Patients scheduled to undergo an echocardiogram at Tulane Medical Center.

Exclusion criteria

Exclusion Criteria:

  • Participants under 18 years of age.
  • Participants with cognitive impairments.
  • Participants with a physical inability to wear the Biostrap during the echocardiogram.
  • Individuals who cannot read, speak, and/or understand English.
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patient Group

    All patients undergoing an echocardiogram at Tulane Medical Center may be asked to participate in the study. Doctors, including PI and co-PI, will identify eligible patients from their clinic using their clinical knowledge and expertise and the patients' medical history and records. They will provide patients with information regarding the study and if interested, patients will be consented prior to their scheduled echocardiogram.

    Diagnostic Test: Photoplethysmography

Interventions

  • Diagnostic testPhotoplethysmography

    Photoplethysmography (PPG) is a non-invasive technique that can detect volumetric changes in the peripheral blood. It only requires skin contact and relies on light absorption. PPG is a good indicator of the cardiovascular dynamics in the human body. PPG has been incorporated into various new smartphones and wearable devices such as, smartwatches and fitness wristbands making it readily available to all consumers. This sensor can record biometrics such as, heart rate, blood pressure, oxygen saturation, etc.

06

What researchers measure

Primary outcomes

  1. Association between obtained PPG waveforms and recorded ejection (EF) fractions.

    Patients who will undergo echocardiogram will wear the biostrap watch and then the PPG waveform will be obtained. Then, the ejection fraction will be collected from the echocardiogram report. Then, the Artificial Intelligence (AI) staff member will do a predictive model to try and estimate the EF based on the PPG waveform.

    Time frame: Day 1

Secondary outcomes

  1. Association between blood pressure and PPG waveforms

    The investigators will record the blood pressure of the patient twice during their visit. Then, the Artificial Intelligence (AI) staff member will do a predictive model to try and estimate the blood pressure based on the PPG waveform.

    Time frame: Day1

07

Study locations

3 of 3 sites recruiting
  • East Jefferson General Hospital
    New Orleans, Louisiana 70006, United States
    • Mayana Bsoul, MD · Contact · mbsoul@tulane.edu · 504-988-3063
    • Kunal Sameer, MD, MHA · Contact · ksameer@tulane.edu · 504-988-3072
    • Nassir Marrouche, MD · Principal investigator
    Recruiting
  • University Medical Center
    New Orleans, Louisiana 70112, United States
    Recruiting
  • Tulane Doctors - Speciality Care - Napoleon
    New Orleans, Louisiana 70115, United States
    • Mayana Bsoul, MD · Contact · mbsoul@tulane.edu · 504-988-3063
    • Kunal Sameer, MD, MHA · Contact · ksameer@tulane.edu · 504-988-3072
    • Nassir Marrouche, MD · Principal investigator
    Recruiting
08

References and documents

Publications

  • McDonagh TA, McDonald K, Maisel AS. Screening for asymptomatic left ventricular dysfunction using B-type natriuretic Peptide. Congest Heart Fail. 2008 Jul-Aug;14(4 Suppl 1):5-8. doi: 10.1111/j.1751-7133.2008.tb00002.x. PubMed 18772638 ↗
  • Dargie HJ. Effect of carvedilol on outcome after myocardial infarction in patients with left-ventricular dysfunction: the CAPRICORN randomised trial. Lancet. 2001 May 5;357(9266):1385-90. doi: 10.1016/s0140-6736(00)04560-8. PubMed 11356434 ↗
  • Priori SG, Blomstrom-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, Elliott PM, Fitzsimons D, Hatala R, Hindricks G, Kirchhof P, Kjeldsen K, Kuck KH, Hernandez-Madrid A, Nikolaou N, Norekval TM, Spaulding C, Van Veldhuisen DJ; ESC Scientific Document Group. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015 Nov 1;36(41):2793-2867. doi: 10.1093/eurheartj/ehv316. Epub 2015 Aug 29. No abstract available. PubMed 26320108 ↗
  • Betti I, Castelli G, Barchielli A, Beligni C, Boscherini V, De Luca L, Messeri G, Gheorghiade M, Maisel A, Zuppiroli A. The role of N-terminal PRO-brain natriuretic peptide and echocardiography for screening asymptomatic left ventricular dysfunction in a population at high risk for heart failure. The PROBE-HF study. J Card Fail. 2009 Jun;15(5):377-84. doi: 10.1016/j.cardfail.2008.12.002. Epub 2009 Jan 21. PubMed 19477397 ↗
  • Redfield MM, Rodeheffer RJ, Jacobsen SJ, Mahoney DW, Bailey KR, Burnett JC Jr. Plasma brain natriuretic peptide to detect preclinical ventricular systolic or diastolic dysfunction: a community-based study. Circulation. 2004 Jun 29;109(25):3176-81. doi: 10.1161/01.CIR.0000130845.38133.8F. Epub 2004 Jun 7. PubMed 15184280 ↗
  • Blanie A, Soued M, Benhamou D, Mazoit JX, Duranteau J. A Comparison of Photoplethysmography Versus Esophageal Doppler for the Assessment of Cardiac Index During Major Noncardiac Surgery. Anesth Analg. 2016 Feb;122(2):430-6. doi: 10.1213/ANE.0000000000001113. PubMed 26649910 ↗
  • Chan GS, Middleton PM, Celler BG, Wang L, Lovell NH. Automatic detection of left ventricular ejection time from a finger photoplethysmographic pulse oximetry waveform: comparison with Doppler aortic measurement. Physiol Meas. 2007 Apr;28(4):439-52. doi: 10.1088/0967-3334/28/4/009. Epub 2007 Mar 20. PubMed 17395998 ↗
  • Middleton PM, Chan GS, O'Lone E, Steel E, Carroll R, Celler BG, Lovell NH. Changes in left ventricular ejection time and pulse transit time derived from finger photoplethysmogram and electrocardiogram during moderate haemorrhage. Clin Physiol Funct Imaging. 2009 May;29(3):163-9. doi: 10.1111/j.1475-097X.2008.00843.x. Epub 2009 Jan 22. PubMed 19170720 ↗
  • Nachman D, Gepner Y, Goldstein N, Kabakov E, Ishay AB, Littman R, Azmon Y, Jaffe E, Eisenkraft A. Comparing blood pressure measurements between a photoplethysmography-based and a standard cuff-based manometry device. Sci Rep. 2020 Sep 30;10(1):16116. doi: 10.1038/s41598-020-73172-3. PubMed 32999400 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04843371
Lead sponsor
Tulane University
Responsible party
Sponsor
First posted
Apr 13, 2021
Start date
Aug 20, 2021
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Mar 5, 2026

Study contacts

Mayana Bsoul, MD
Contact
mbsoul@tulane.edu
504-988-3063
Kunal Sameer, MD, MHA
Contact
ksameer@tulane.edu
504-988-3072
Nassir Marrouche, MD
principal investigator · Tulane University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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