ClinicalTrials.gg
RecruitingNCT07626879RING-HFrEFUpdated Jun 4, 2026

Feasibility and Effectiveness of a Ring-Type Blood Pressure Device (CART-BP) Compared With 24-Hour Ambulatory Blood Pressure Monitoring in HFrEF

An observational study in Heart Failure With Reduced Ejection Fraction; Hypertension, sponsored by Keimyung University Dongsan Medical Center. Recruiting at 1 site in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Keimyung University Dongsan Medical Center · Observational

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
19 Years and older
Sex
All
01

Study summary

This study aims to evaluate the feasibility and diagnostic accuracy of the CART-BP ring-type wearable blood pressure monitoring device in comparison with 24-hour ambulatory blood pressure monitoring (ABPM) in patients with heart failure with reduced ejection fraction (HFrEF, LVEF ≤ 40%). As a multi-center, prospective, exploratory study, 100 patients will be enrolled at two tertiary hospitals in South Korea. The agreement between the two devices in 24-hour mean, daytime, and nighttime blood pressure measurements will be assessed per ISO 81060-2:2018 criteria.

Read the detailed description

Hypertension is a major risk factor and exacerbating cause of heart failure. Accurate blood pressure monitoring in HFrEF patients is critically important, as reduced left ventricular stroke volume and altered peripheral vascular hemodynamics may affect the accuracy of photoplethysmography (PPG)-based blood pressure measurement.

The CART-BP device uses PPG technology in a ring form factor to enable continuous, non-invasive blood pressure monitoring. This study will simultaneously measure blood pressure using CART-BP and standard 24-hour ABPM over a 24-hour period. Agreement will be assessed using ISO 81060-2:2018 Criteria 1 and 2. An interim analysis will be conducted after 40 participants are enrolled to assess preliminary agreement and determine whether to continue to the full enrollment of 100 participants.

02

Conditions studied

  • Heart Failure With Reduced Ejection Fraction; Hypertension

Browse trials for

Keywords

  • HFrEF, ambulatory blood pressure monitoring, ABPM, wearable device, ring-type blood pressure, photoplethysmography, PPG, blood pressure validation
03

In context

Hypertension

6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.

This study's planned enrollment of 100 is below the median of 350 across 1,163 observational studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Keimyung University Dongsan Medical Center is the lead sponsor of 86 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Heart Failure with Reduced Ejection Fraction patients

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 19 years (male or female)
  2. Diagnosed with heart failure and currently under treatment
  3. (LVEF) ≤ 40% confirmed by echocardiography performed within 1 year prior to enrollment
  4. Able to undergo both 24-hour ambulatory blood pressure monitoring and ring-type blood pressure measurement
  5. Voluntarily provided written to participate in this clinical study

Exclusion criteria

Exclusion Criteria:

  1. Office blood pressure: SBP \< 90 mmHg, or DBP \< 50 mmHg, or SBP > 180 mmHg, or DBP > 100 mmHg
  2. Unable to perform 24-hour ambulatory blood pressure monitoring
  3. Unable to wear or use the ring-type blood pressure device
  4. Variability in three consecutive resting cuff blood pressure measurements ≥ 20 mmHg (SBP) or ≥ 10 mmHg (DBP)
  5. Insufficient valid ABPM readings: \< 25 daytime or \< 12 nighttime measurements per ESH criteria; or \< 25 daytime or \< 12 nighttime valid readings from the ring-type device
  6. Pregnant, suspected pregnancy, or breastfeeding
  7. Judged by the investigator to be legally or mentally unfit to participate in the clinical study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Heart failure with reduced ejection fraction

    Heart failure with reduced ejection fraction with or without hypertension

06

What researchers measure

Primary outcomes

  1. Agreement between CART-BP and ABPM in 24-hour mean systolic and diastolic blood pressure

    Agreement between the CART-BP ring-type device and the 24-hour ABPM for mean 24-hour systolic blood pressure (SBP) and diastolic blood pressure (DBP), evaluated according to ISO 81060-2:2018 Criteria 1 and 2 (Opposite arm simultaneous method, section 5.2.4.2.2)

    Time frame: 24 hours

Secondary outcomes

  1. Agreement in daytime mean SBP and DBP between CART-BP and ABPM

    Time frame: 24 hours

  2. Agreement in nighttime mean SBP and DBP between CART-BP and ABPM

    Time frame: 24 hours

  3. Agreement in blood pressure dipping pattern between CART-BP and ABPM

    Time frame: 24 hours

  4. Blood pressure variability (standard deviation) agreement between devices

    Time frame: 24 hours

  5. Measurement adherence rate of ABPM (target: ≥ 80% valid readings in total enrolled patients)

    Time frame: 24 hours

  6. Measurement adherence rate of CART-BP (target: ≥ 80% valid readings in total enrolled patients)

    Time frame: 24 hours

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07626879
Lead sponsor
Keimyung University Dongsan Medical Center
Responsible party
In-Cheol Kim (Associate Professor, Keimyung University Dongsan Medical Center) — Principal investigator
First posted
Jun 4, 2026
Start date
Oct 23, 2025
Primary completion
Oct 22, 2026 (estimated)
Completion
Oct 22, 2026 (estimated)
Last update
Jun 4, 2026

Study contacts

In-Cheol Kim
Contact
kimic@dsmc.or.kr
82-53-258-4629

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion