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Updated: Aug 21, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
[Pulse pressure as a prognostic indicator of organ damage in patients with essential hypertension]
Beata Jołda-Mydłowska1, Małgorzata Kobusiak-Prokopowicz, Agnieszka Sławuta
1Katedra i Klinika Kardiologii AM we Wrocławiu.
Insights
Widened pulse pressure (PP) is linked to hypertension stage and organ damage, particularly in the eyes. Higher serum sodium levels correlate with increased PP, suggesting sodium
Area of Science:
- Cardiovascular Medicine
- Hypertension Research
- Arterial Physiology
Context:
- Pulse pressure (PP), the difference between systolic and diastolic blood pressure, is a key cardiovascular risk factor.
- Increased arterial stiffness leads to widened pulse pressure.
- Essential hypertension is a prevalent condition associated with cardiovascular events.
Purpose:
- To investigate the association between pulse pressure and organ damage in patients with essential hypertension.
- To explore the relationship between pulse pressure, arterial dimensions, and physiological markers.
Summary:
- This study examined 60 primary hypertension patients (34 women, 26 men) using 24-hour blood pressure monitoring, echocardiography, ultrasonography, funduscopy, and laboratory tests.
- Results indicate pulse pressure correlates with hypertension stage and aortic dimensions.
- A strong link was found between pulse pressure and funduscopic damage, suggesting eye complications may depend more on PP than overall blood pressure levels.
- Elevated serum sodium levels and their correlation with natremia and natriuresis further support sodium's role in hypertension pathophysiology.
Impact:
- Findings highlight pulse pressure as a significant indicator of hypertension-related organ damage, especially retinal complications.
- The study underscores the role of sodium in the pathophysiology of hypertension and its impact on pulse pressure.
- This research contributes to understanding the multifactorial nature of hypertension and its vascular consequences.
Abstract:
Pulse pressure (PP), defined as systolic blood pressure minus diastolic blood pressure, plays an important role as a risk factor for cardiovascular events. Pulse pressure is pulsatile component of blood pressure. A widened pulse pressure reflects increased stiffness of the large arteries. The aim of the study was to evaluate the association between pulse pressure and organ damage in essential hypertension. We examined 60 subjects, 34 women aged 59 +/- 13 years and 26 men aged 48 +/- 17 years with primary hypertension. In every subject we performed 24-hour automatic blood pressure measurement and echocardiography, abdominal ultrasonography, funduscopy, chest x-ray. We measured sodium potassium, creatinine level in serum and in urine, creatinine clearance and microalbuminuria. Pulse pressure is proportional to the stage of hypertension. A dimension of the aorta parallels with measures of blood pressure. The strong correlation between pulse pressure and damage in funduscopy can indicate, that complication in fundus of the eye are dependent more than the level of a pressure. The significantly higher sodium level in serum and the positive correlation between natremia, natriuresis and pulse pressure proves the role of natrium in pathophysiology of hypertension.
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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.
