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Updated: May 5, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Evaluation of arterial stiffness for predicting future cardiovascular events in patients with ST segment elevation
Oguz Akkus1, Durmus Yildiray Sahin, Abdi Bozkurt
1Sanliurfa Siverek State Hospital, 63600 Sanliurfa, Turkey.
Insights
Arterial stiffness parameters were similar between ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) patients one year post-acute myocardial infarction (MI). Aortic pulse wave velocity (PWV) independently predicts major adverse cardiovascular events (MACE).
Area of Science:
- Cardiology
- Vascular Medicine
- Clinical Research
Background:
- Arterial stiffness in patients post-acute myocardial infarction (MI) requires further investigation.
- Limited data exists on arterial stiffness parameters differentiating ST-segment elevation MI (STEMI) from non-ST-segment elevation MI (NSTEMI).
Purpose of the Study:
- To investigate and compare arterial stiffness parameters in patients with STEMI versus NSTEMI.
- To identify predictors of major adverse cardiovascular events (MACE) in acute MI patients.
Main Methods:
- Ninety-four acute MI patients (45 STEMI, 49 NSTEMI) were enrolled.
- Arterial stiffness was noninvasively assessed using the TensioMed Arteriograph.
- Follow-up included assessment of MACE rates.
Main Results:
- No significant difference in MACE rates between STEMI and NSTEMI groups at one-year follow-up.
- Higher pulse pressure in NSTEMI patients (P = 0.007).
- Aortic pulse wave velocity (PWV), heart rate, and ejection fraction were independent predictors of MACE.
Conclusions:
- Arterial stiffness parameters and MACE rates are comparable between STEMI and NSTEMI patients one year after acute MI.
- Aortic PWV is a reliable, independent prognostic indicator for future events in acute MI patients.
Background:
Arterial stiffness parameters in patients who experienced MACE after acute MI have not been studied sufficiently. We investigated arterial stiffness parameters in patients with ST segment elevation (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI).
Methods:
Ninety-four patients with acute MI (45 STEMI and 49 NSTEMI) were included in the study. Arterial stiffness was assessed noninvasively by using TensioMed Arteriograph.
Results:
Arterial stiffness parameters were found to be higher in NSTEMI group but did not achieve statistical significance apart from pulse pressure (P = 0.007). There was no significant difference at MACE rates between two groups. Pulse pressure and heart rate were also significantly higher in MACE observed group. Aortic pulse wave velocity (PWV), aortic augmentation index (AI), systolic area index (SAI), heart rate, and pulse pressure were higher; ejection fraction, the return time (RT), diastolic reflex area (DRA), and diastolic area index (DAI) were significantly lower in patients with major cardiovascular events. However, PWV, heart rate, and ejection fraction were independent indicators at development of MACE.
Conclusions:
Parameters of arterial stiffness and MACE rates were similar in patients with STEMI and NSTEMI in one year followup. The independent prognostic indicator aortic PWV may be an easy and reliable method for determining the risk of future events in patients hospitalized with acute MI.
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