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Updated: May 12, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
Inflammation does not influence arterial stiffness and pulse-wave velocity in patients with coronary artery disease
A D Blann1, N Kuzniatsova, G Y H Lip
1University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, UK.
Insights
In stable coronary artery disease patients, arterial stiffness and pulse pressure are primarily linked to age and blood pressure, not inflammation. Inflammatory markers showed minimal impact on vascular function in this study.
Area of Science:
- Cardiovascular Disease Research
- Vascular Physiology
- Inflammation Biology
Background:
- Vascular function is crucial in cardiovascular disease pathogenesis.
- Hypertension and inflammation are potential risk factors influencing vascular health.
- Arterial stiffness and pulse pressure are key indicators of vascular function and hemodynamics.
Purpose of the Study:
- To investigate the relationship between inflammatory markers, hypertension, and vascular function in stable coronary artery disease (CAD) patients.
- To assess the independent contributions of inflammation, age, and blood pressure to arterial stiffness and pulse pressure.
Main Methods:
- Recruited 222 stable CAD outpatients.
- Measured inflammatory markers: high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6).
- Assessed vascular function via pulse-wave velocity (PWV), augmentation index, aortic/brachial pulse pressure, Von Willebrand factor (vWf), and soluble E-selectin.
Main Results:
- Pulse-wave velocity (PWV), augmentation indices, and pulse pressures were significantly associated with age, blood pressure, and heart rate (P<0.01).
- Von Willebrand factor (vWf) showed an association with age (P=0.01).
- Inflammatory markers (hs-CRP, IL-6) demonstrated minimal independent association with the measured vascular function parameters.
Conclusions:
- In stable CAD patients, arterial stiffness and pulse pressure are strongly and independently determined by age, blood pressure, and heart rate.
- The influence of inflammation on vascular function, as assessed by these markers, appears minimal in this patient cohort.
Abstract:
Vascular function is an important pathophysiological factor in cardiovascular disease, and is influenced by many factors, one of the principles being hypertension. Developing evidence suggests that inflammation may be another risk factor. Vascular function and blood pressure haemodynamics can be assessed by arterial stiffness, pulse pressure and plasma markers. Testing the hypothesis of a relationship between inflammatory markers, hypertension and vascular function, we recruited 222 stable coronary artery disease outpatients, assessing inflammation with levels of high sensitivity CRP and interleukin-6 (IL-6), vascular function/arterial stiffness by pulse-wave velocity (PWV), augmentation (SphygmoCor system Artcor, Sidney, Australia), aortic and brachial artery pulse pressure, Von Willebrand factor (vWf) and soluble E-selectin (both enzyme-linked immunosorbent assay). In multivariate regression analysis, PWVs, augmentation indices and pulse pressures were linked with age, blood pressure and (some) with heart rate (all P<0.01), while vWf was associated with age (P=0.01). We conclude that, in patients with stable coronary artery disease, arterial stiffness and pulse pressure are related strongly and independently with age, blood pressure and heart rate, and that any effect of inflammation is minimal.
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