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Updated: Jun 22, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial compliance in the elderly: its effect on blood pressure measurement and cardiovascular outcomes
Mary Ann Lim1, Raymond R Townsend
1Renal Electrolyte and Hypertension Division, Department of Medicine, Hospital of the University of Pennsylvania, 1 Founders Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Insights
Arterial stiffness increases with age, contributing to hypertension and cardiovascular risks. Understanding and preventing vascular stiffening is crucial for better health outcomes in the elderly.
Area of Science:
- Cardiovascular Physiology
- Gerontology
- Vascular Biology
Background:
- Aging human vasculature leads to decreased arterial compliance.
- This stiffening is linked to age-dependent isolated systolic hypertension.
- It independently predicts mortality and cardiovascular events.
Purpose of the Study:
- To review the physiology of the arterial system.
- To examine the effects of aging on arterial stiffness.
- To discuss implications for hypertension and cardiovascular outcomes in the elderly.
Main Methods:
- Historical perspective on pulse wave analysis.
- Review of normal arterial physiology.
- Analysis of aging effects on arterial system and stiffness measures.
Main Results:
- Arterial stiffness is a significant factor in aging vasculature.
- Increased stiffness correlates with hypertension and adverse cardiovascular outcomes.
- Current knowledge on preventing vascular stiffness is reviewed.
Conclusions:
- Loss of arterial compliance is a key aspect of vascular aging.
- Arterial stiffness impacts hypertension and mortality in the elderly.
- Further research into prevention strategies for vascular stiffness is warranted.
Abstract:
The loss of arterial compliance as a result of the aging of human vasculature is thought to contribute to the age dependent rise in isolated systolic hypertension, and is an independent predictor of all cause mortality and cardiovascular outcomes. In this article, the author's we begin by providing a brief historical perspective of the study of the pulse wave. The author's then review the physiology of the normal arterial system, the effects of aging on the arterial system and the different measures of arterial stiffness. Finally, the author's review the different studies that look at arterial stiffness in the elderly, its impact on hypertension and cardiovascular outcome, and what is currently known on how to prevent vascular stiffness.
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