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Updated: Oct 3, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
[Pulse pressure and mean pressure: physiopathology and predictive value of coronary events and ictus]
Insights
Increased pulse pressure (PP), a marker of arterial stiffness, significantly predicts cardiovascular risk, especially in individuals over 55. Higher PP indicates greater risk for coronary events than elevated mean blood pressure.
Area of Science:
- Cardiovascular Physiology
- Geriatric Medicine
- Vascular Biology
Background:
- Increased pulse pressure (PP) signifies aortic and large elastic artery stiffness.
- Arterial stiffness reduces vascular elasticity, impacting blood pressure dynamics.
- Aging and atherosclerosis contribute to reduced elastic content in arteries.
Discussion:
- Stiffening arteries lead to higher systolic and lower diastolic blood pressure.
- Pulse pressure is a key predictor of cardiovascular risk, particularly in older adults.
- Epidemiological data highlights PP's strong association with cardiovascular events.
Key Insights:
- Pulse pressure is a more potent predictor of coronary events than mean blood pressure.
- Mean blood pressure is a more specific predictor of cerebrovascular events.
- Arterial stiffness is a critical factor in cardiovascular risk assessment.
Outlook:
- Further research into managing arterial stiffness could mitigate cardiovascular risk.
- Developing targeted interventions for arterial stiffness may improve patient outcomes.
- Longitudinal studies can further elucidate the relationship between PP and specific cardiovascular events.
Abstract:
Increased pulse pressure (PP) reflects an increased stiffness of aorta and other large elastic arteries. These arteries dilate by about 10% during systole and contract owing to elastic return during diastole. As a result, blood flow towards periphery becomes less pulsatile and more continuous. An increased stiffness of aorta and large elastic arteries due to progressively reduced elastic content with aging (atherosclerotic processes) leads to increased systolic blood pressure (BP), because of their reduced distension during systole, and decreased diastolic BP due to their reduced blood content at the beginning of diastole. Several epidemiological studies have shown that PP is the BP component which most closely predicts cardiovascular risk, particularly over 55 years of age. In particular, increased PP is an important predictor of coronary events, while increased mean BP is a more specific predictor of cerebrovascular events.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
