Related Experiment Video
Updated: May 22, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Determinants of brachial-ankle pulse wave velocity in a Japanese population: a cohort study
Satoko Mitani1, Masatoshi Fujita, Masako Shigeta
1Unit for Liveable Cities, Kyoto University Graduate School of Medicine, Kyoto, Japan. mitani-satoko@hs.med.kyoto-u.ac.jp
Insights
Arterial stiffness, a predictor of coronary heart disease, was assessed using brachial-ankle pulse wave velocity (baPWV) and augmentation index (AI). The Framingham Risk Score correlated well with baPWV, suggesting its utility in assessing arterial stiffness.
Area of Science:
- Cardiology
- Vascular Medicine
- Preventive Cardiology
Background:
- Arterial stiffness is a significant predictor of coronary heart disease (CHD).
- Assessing arterial stiffness aids in cardiovascular risk stratification.
- Understanding the relationship between arterial stiffness markers and traditional risk factors is crucial for preventive strategies.
Purpose of the Study:
- To evaluate the correlation between brachial-ankle pulse wave velocity (baPWV) and augmentation index (AI) with established risk factors for coronary heart disease (CHD).
- To determine the applicability of the Framingham Risk Score (FRS) as an index of arterial stiffness in a healthy Japanese population.
Main Methods:
- Cross-sectional study involving 528 healthy workers (mean age 47.9 years).
- Measurements included brachial-ankle pulse wave velocity (baPWV) and augmentation index (AI).
- Correlation and multivariate linear regression analyses were performed using Framingham Risk Score (FRS), body mass index, alcohol consumption, and AI P75.
Main Results:
- The Framingham Risk Score (FRS) demonstrated a significant correlation with brachial-ankle pulse wave velocity (baPWV) (r = 0.53, p < 0.01).
- Multivariate analysis identified FRS, body mass index, alcohol consumption, and AI P75 as significant correlates of baPWV.
- Despite controlled blood pressure, individuals with hypertension treatment showed persistent arterial stiffness, while augmentation index (AI) was notably low.
Conclusions:
- The Framingham Risk Score (FRS) is a valid index for assessing arterial stiffness in Japanese individuals.
- Arterial stiffness is associated with multiple cardiovascular risk factors, including FRS, BMI, and alcohol consumption.
- Further research is needed to understand the implications of low AI in treated hypertensive patients with residual arterial stiffness.
Abstract:
Arterial stiffness is one of the biggest predictors of coronary heart disease (CHD). We evaluated whether brachial-ankle pulse wave velocity (baPWV) and augmentation index (AI) are correlated with risk factors of CHD. All of the 528 participants (270 males and 258 females) in this study were healthy workers aged from 36 to 69 (mean age: 47.9 ± 8.1 years). The Framingham Risk Score (FRS) showed a good correlation with baPWV (r = 0.53, p < 0.01), indicating that FRS is also applicable as an index of arterial stiffness in Japanese people. Blood pressures were well controlled in patients with medical treatment for hypertension; however, vessels remained relatively still stiff, whereas the AI was considerably low. Multivariate linear regression analysis showed that factors of such as FRS, body mass index, alcohol consumption and AI P75 were significantly correlated with baPWV.
Related Concept Videos
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessing Blood pressure in the Leg
Preparation:
Assessment of radial pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
