Related Experiment Video
Updated: Jul 13, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
[Arterial compliance (stiffness) as a marker of subclinical atherosclerosis]
Jens Nürnberger1, Andres Kribben, Thomas Philipp
1Klinik für Nieren- und Hochdruckkrankheiten, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen. jens.nuernberger@uni-duisburg-essen.de
Insights
Arterial stiffening contributes significantly to cardiovascular disease and mortality. Assessing arterial stiffness using methods like pulse wave velocity can predict future cardiovascular risk and survival.
Area of Science:
- Cardiovascular physiology and pathophysiology.
- Biomedical engineering and medical device technology.
Context:
- Cardiovascular diseases, including coronary heart disease, are primary causes of illness and death in industrialized nations.
- Arterial wall stiffening is a key pathophysiological mechanism underlying cardiovascular morbidity and mortality.
- Factors influencing arterial stiffening include age, gender, blood pressure, smoking, hypertension, diabetes, renal failure, and hypercholesterolemia.
Purpose:
- To review the pathophysiological role of arterial stiffening in cardiovascular disease.
- To present various models, indices, and techniques for evaluating arterial stiffness.
- To summarize clinical studies on the predictive value of arterial stiffness markers for cardiovascular risk and survival.
Summary:
- Arterial stiffness is a significant contributor to cardiovascular morbidity and mortality.
- Assessment of arterial stiffness, traditionally via pulse wave velocity and increasingly by pulse wave analysis (e.g., augmentation index), is crucial in clinical and epidemiological studies.
- This review details the mechanisms, measurement techniques, and clinical significance of arterial stiffness.
Impact:
- Highlights the importance of arterial stiffness as a predictor of cardiovascular events.
- Provides a comprehensive overview of methods for assessing arterial stiffness.
- Informs clinical practice and research regarding cardiovascular risk stratification.
Abstract:
Cardiovascular diseases such as coronary heart disease are the leading cause for morbidity and mortality in industrial countries. Current evidence shows that stiffening of the arterial wall is one major mechanism responsible for this morbidity and mortality in cardiovascular disease. Various physiological and pathophysiological parameters influence arterial stiffening including age, gender, blood pressure, smoking, and diseases such as hypertension, diabetes, renal failure, and hypercholesterolemia. Thus, the assessment of arterial stiffness has become a widely used tool to investigate the function of the arteries in epidemiologic and clinical studies. Traditionally, arterial stiffness has been assessed by pulse wave velocity, a noninvasive parameter which has been shown to predict cardiovascular mortality. In addition, pulse wave analysis has been increasingly used to determine the augmentation index, a parameter that describes the effect of pulse wave reflection on the central aortic pressure configuration. In the present review, the pathophysiological contribution of arterial stiffening for cardiovascular morbidity and mortality is described. Details of models, indices, and techniques used to evaluate stiffness will be presented. Clinical studies investigating the predictive value of stiffness markers in defining future cardiovascular risk and survival are summarized.
Related Concept Videos
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Peripheral Artery Disease I: Introduction
Atherosclerosis III: Management
Atherosclerosis I: Introduction
Coronary Artery Disease III: Clinical Manifestations
