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Updated: Jun 26, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
Pulse pressure, arterial stiffness and wave reflections (augmentation index) as cardiovascular risk factors in
1Paris-Descartes University 5, Centre de Diagnostic, Hôtel-Dieu, AP HP, Place du parvis Notre-Dame, 75004 Paris, France. michel.safar@htd.aphp.fr
Insights
Traditional blood pressure (BP) measures like systolic and diastolic are evolving. New cardiovascular epidemiology research focuses on pulsatile arterial hemodynamics for a more complete understanding of BP curves.
Area of Science:
- Cardiovascular Epidemiology
- Physiology
- Medical Technology
Background:
- Historically, cardiovascular (CV) hypertensive epidemiology relied on systolic and diastolic blood pressure (BP) points.
- This traditional approach offers a limited view of the cyclic BP curve.
Purpose of the Study:
- To introduce novel indices for CV epidemiology based on pulsatile arterial hemodynamics.
- To detail the evolution of BP curve characterization beyond traditional systolic and diastolic measures.
Main Methods:
- Analysis of pulsatile arterial hemodynamics.
- Characterization of the complete cyclic BP curve.
Main Results:
- Identification of limitations in using only systolic and diastolic BP.
- Establishment of a new framework for BP curve analysis using pulsatile hemodynamics.
Conclusions:
- The characterization of the BP curve should incorporate pulsatile arterial hemodynamics.
- Novel indices derived from this approach are crucial for advancing CV epidemiology.
Abstract:
For many years, the cyclic blood pressure (BP) curve was described exclusively from two specific points of this curve, the highest, called systolic blood pressure, and the lowest, called diastolic blood pressure, both dominating the basis of cardiovascular (CV) hypertensive epidemiology. Nowadays, it is largely admitted that the BP curve should be characterized from pulsatile arterial hemodynamics, thus leading to the definition of novel indices in CV epidemiology. The present chapter details these new aspects.
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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.
