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Updated: May 10, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Blood pressure and pulse wave velocity as metrics for evaluating pathologic ageing of the cardiovascular system
Peter M Nilsson1, Payam Khalili, Stanley S Franklin
1Department of Clinical Sciences, Lund University, Skåne University Hospital , Malmö , Sweden.
Insights
Chronological aging increases cardiovascular risk by stiffening arteries, raising blood pressure, and increasing vascular resistance. Lifestyle changes and risk factor management are key to protecting against early vascular aging (EVA).
Area of Science:
- Cardiovascular Physiology
- Gerontology
- Vascular Biology
Background:
- Cardiovascular system changes significantly with chronological aging.
- Increased vascular resistance and arterial stiffness are hallmarks of aging vasculature, termed early vascular aging (EVA).
- EVA elevates cardiovascular risk, particularly in individuals over 50.
Purpose of the Study:
- To understand the impact of aging on cardiovascular hemodynamics.
- To identify key markers and clinical implications of early vascular aging (EVA).
- To highlight the importance of vascular protection strategies against EVA.
Main Methods:
- Assessment of hemodynamic changes related to aging.
- Measurement of arterial stiffness using carotid-femoral pulse wave velocity (c-f PWV).
- Clinical evaluation of blood pressure and pulse pressure in aging populations.
Main Results:
- Aging leads to increased peripheral vascular resistance and central elastic artery stiffness.
- Clinical manifestations include elevated systolic blood pressure, pulse pressure, and c-f PWV (≥ 10 m/s indicates high risk).
- Early vascular aging (EVA) is a significant risk marker for cardiovascular events.
Conclusions:
- Managing cardiovascular risk factors and improving lifestyle are crucial for vascular protection in EVA.
- Targeted interventions may benefit individuals with a family history of early-onset cardiovascular disease.
- Understanding EVA is fundamental for mitigating age-related cardiovascular risk.
Abstract:
The influence of chronological ageing on the components of the cardiovascular system is of fundamental importance for understanding how hemodynamics change and the cardiovascular risk increases with age, the most important risk marker. An increase in peripheral vascular resistance associated with increased stiffness of central elastic arteries represents hallmarks of this ageing effect on the vasculature, referred to as early vascular ageing (EVA). In clinical practice, it translates into increased brachial and central systolic blood pressure and corresponding pulse pressure in subjects above 50 years of age, as well as increased carotid-femoral pulse wave velocity (c-f PWV)--a marker of arterial stiffness. A c-f PWV value ≥ 10 m/s is threshold for increased risk according. Improved lifestyle and control of risk factors via appropriate drug therapy are of importance in providing vascular protection related to EVA. One target group might be members of risk families including subjects with early onset cardiovascular disease.
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