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Updated: Aug 16, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
[Pulse pressure as a marker of cardiovascular risk among the elderly]
R Villa Estébanez1, S Tranche Iparraguirre, R Marín Iranzo
1Centro de Salud de El Cristo. Oviedo. Spain.
Insights
Pulse pressure in the elderly is a significant independent marker of cardiovascular risk. Higher pulse pressure is associated with increased prevalence of hypertension and cardiovascular diseases in older adults.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Public Health
Context:
- The study investigates the clinical significance and prognostic value of pulse pressure in the general elderly population.
- A transversal descriptive study was conducted in primary care settings between June and October 2000.
Purpose:
- To determine if pulse pressure is an independent marker of cardiovascular risk in the elderly.
- To analyze the association between pulse pressure, demographic variables, cardiovascular risk factors, and existing cardiovascular pathology.
Summary:
- A sample of 415 elderly individuals (aged 60+) was analyzed, with 338 included in the final results.
- Higher pulse pressure (tercile 3: >=66 mm Hg) was linked to older age, higher systolic blood pressure, and increased prevalence of hypertension, isolated systolic hypertension, and ischemic and overall cardiovascular pathology.
- Pulse pressure was identified as an independent variable associated with cardiovascular risk after logistic regression analysis.
Impact:
- This research highlights pulse pressure as a valuable, independent predictor of cardiovascular risk in the elderly population.
- Findings can inform clinical practice and public health strategies for cardiovascular disease prevention in older adults.
Objective:
To verify the clinical significance and the prognostic value of taking the pulse in the general elderly population.
Design:
Transversal descriptive study between June and October 2000 within primary care.Participants. A simple randomised sample of 415 people was obtained from the population aged 60 or over (n=8,026) from sixteen lists of six health centres in Asturias.
Main Measurements:
Demographic variables and cardiovascular risk factors were analysed and the presence of associated cardiovascular pathology was investigated. The analysis divided blood pressure at the pulse into terciles.
Results:
338 people (18.5% losses), with an average age of 73+/-7, 64% of whom were women, were included. The SP and DP means were 140+/-18 and 80+/-8 mm Hg, respectively. The pulse pressure terciles were: tercile 1, (3/4)51 mm Hg, tercile 2, 52-65 mm Hg and tercile 3, >=66 mm Hg. Those in tercile 3 were older than those in tercile 1 (P<.001) and had higher SP figures (P<.001). Tercile 3 was linked to greater prevalence of Hypertension, isolated systolic hypertension and worse control of hypertension; and also to greater prevalence of ischaemic cardiopathy (P=.018) and of overall cardiovascular pathology (P=.005). After logistical regression analysis, pulse pressure persisted as an independent variable (P=.017).
Conclusions:
Among the elderly as a whole, blood pressure at the pulse is an independent marker of cardiovascular risk.
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