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Updated: May 27, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
The association between preeclampsia and arterial stiffness
Anaïs Hausvater1, Tania Giannone, Yessica-Haydee Gomez Sandoval
1Division of Internal Medicine, Department of Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Women with preeclampsia exhibit significantly increased arterial stiffness compared to those with normal pregnancies. This finding highlights a potential link between preeclampsia and future cardiovascular risks.
Area of Science:
- Cardiovascular Physiology
- Reproductive Medicine
- Clinical Epidemiology
Background:
- Preeclampsia is a serious pregnancy complication associated with increased cardiovascular risk.
- Arterial stiffness is a marker of vascular health and a predictor of cardiovascular events.
Purpose of the Study:
- To systematically review and meta-analyze the association between preeclampsia and arterial stiffness.
- To compare arterial stiffness in women with preeclampsia versus normotensive pregnancies and gestational hypertension.
Main Methods:
- Systematic review and meta-analysis of studies from MEDLINE, EMBASE, and Cochrane Library.
- Inclusion of 23 relevant studies investigating preeclampsia and arterial stiffness.
- Analysis of various arterial stiffness indices including pulse wave velocity and augmentation index.
Main Results:
- Significantly increased combined arterial stiffness indices in preeclampsia versus normotensive pregnancies (SMD 1.62).
- Significant increases in carotid-femoral pulse wave velocity (WMD 1.04) and augmentation index (WMD 15.10) in preeclampsia.
- Arterial stiffness was also significantly higher in preeclampsia compared to gestational hypertension.
Conclusions:
- Preeclampsia is associated with significant increases in arterial stiffness.
- Arterial stiffness measurements may aid in predicting preeclampsia.
- Elevated arterial stiffness in preeclampsia may contribute to future cardiovascular complications.
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