A system is provided including a thoracic bio-impedance or bio-reactance (TBIR) analysis module, a photoplethysmograph (PPG) analysis module, and a cardiac output module. The TBIR module is configured to obtain TBIR information from a TBIR detector, and the PPG analysis module is configured to obtain PPG information from a PPG detector. The cardiac output module is configured to determine the cardiac output of a patient using the TBIR information and the PPG information.