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Updated: Jul 13, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial stiffness: clinical relevance, measurement and treatment
Paul K Hamilton1, Christopher J Lockhart, Cathy E Quinn
1Department of Therapeutics and Pharmacology, Queen's University Belfast, Whitla Medical Building, Belfast, UK. pk_hamilton@yahoo.co.uk
Insights
Assessing arterial stiffness, a measure of artery wall integrity, can predict cardiovascular risk. This review examines methods for measuring arterial stiffness and potential drug therapies for altered arterial mechanics.
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Physiology
Background:
- Traditional cardiovascular risk factors impact arterial structure and function.
- Arterial wall integrity assessment offers a method for predicting individual cardiovascular risk.
- Arterial stiffness, reflecting changes in arterial mechanical properties, is a key area of research.
Purpose of the Study:
- To review and critique methodologies for measuring arterial stiffness.
- To evaluate the relative merits and limitations of different arterial stiffness assessment techniques.
- To provide an overview of potential drug therapies for managing altered arterial mechanics.
Main Methods:
- Review of existing literature on arterial stiffness measurement techniques.
- Comparative analysis of methods including pulse pressure, pulse wave velocity, and pulse waveform analysis.
- Evidence-based critique of the strengths and weaknesses of each measurement approach.
Main Results:
- Multiple methods exist for assessing arterial stiffness, each with unique advantages and disadvantages.
- Understanding the limitations of current measurement techniques is crucial for accurate risk prediction.
- Various drug therapies show potential for treating conditions associated with altered arterial mechanics.
Conclusions:
- Arterial stiffness measurement is a valuable tool for cardiovascular risk assessment.
- Further research is needed to optimize measurement techniques and therapeutic strategies.
- Integrating arterial stiffness assessment into clinical practice could improve cardiovascular disease management.
Abstract:
Most traditional cardiovascular risk factors alter the structure and/or function of arteries. An assessment of arterial wall integrity could therefore allow accurate prediction of cardiovascular risk in individuals. The term 'arterial stiffness' denotes alterations in the mechanical properties of arteries, and much effort has focused on how best to measure this. Pulse pressure, pulse wave velocity, pulse waveform analysis, localized assessment of blood vessel mechanics and other methods have all been used. We review the methodology underlying each of these measures, and present an evidence-based critique of their relative merits and limitations. An overview is also given of the drug therapies that may prove useful in the treatment of patients with altered arterial mechanics.
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