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Updated: Apr 17, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Association between arterial stiffness and risk of coronary artery disease
Ke-Qin Luo1, Xiao-Wei Feng2, Bing-Can Xu3
1Ke-qin Luo, Department of Emergency, SunYat-Sen memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Insights
Brachial ankle Pulse Wave Velocity (baPWV) and carotid-femoral PWV (cfPWV) are independent risk factors for Coronary Artery Disease (CAD). Both baPWV and cfPWV interact with age and lipid profiles, highlighting their importance in CAD risk assessment.
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Epidemiology
Background:
- Pulse wave velocity (PWV) measures arterial stiffness, a key indicator of cardiovascular health.
- Brachial ankle (baPWV) and carotid-femoral (cfPWV) are established methods for assessing PWV.
- Arterial stiffness is increasingly recognized as a significant risk factor for Coronary Artery Disease (CAD).
Purpose of the Study:
- To evaluate the independent and interactive roles of baPWV and cfPWV in predicting CAD risk.
- To investigate the interplay between baPWV, cfPWV, and traditional CAD risk factors.
Main Methods:
- A case-control study involving 332 CAD patients and 328 controls.
- Data collected between February 2012 and October 2013.
- Multivariate logistic regression analysis employed to identify risk factors and interactions.
Main Results:
- CAD patients exhibited higher baPWV and cfPWV compared to controls.
- Older age, hypertension, dyslipidemia (TC, TG, HDL-C, LDL-C), smoking, and elevated PWV were associated with increased CAD risk.
- Significant interactions were observed between baPWV and age, TC, TG, HDL-C, and LDL-C; cfPWV interacted with age, HDL-C, and LDL-C.
Conclusions:
- baPWV and cfPWV are independent predictors of CAD.
- The predictive value of baPWV and cfPWV in CAD risk is modulated by age and lipid profiles.
- These findings underscore the clinical utility of PWV measurements in comprehensive cardiovascular risk assessment.
Objective:
To investigate the role of Brachial ankle Pulse Wave Relocity (baPWV) and cfPWV on the risk of Coronary artery disease and the interaction between baPWV and risk factors of Coronary artery disease (CAD).
Methods:
A case-control study was conducted at Department of Emergency, SunYat-Sen memorial Hospital, China. We collected 332 cases with coronary artery disease and 328 subjects without CAD between February 2012 and October 2013. A multivariate logistic regression analysis was performed to analyze the risk factors of CAD.
Results:
CAD subjects were more likely to be old age, and have higher BMI, waist-hip ratio, hypertension, fasting glucose, TG, carotid-femoral PWV (cfPWV) and baPWV, and CAD subjects had a lower TC, HDL-C and LDL-C. We found that older age, smoking, higher hypertension, TC, TG, HDL-C, LDL-C, carotid-femoral PWV (CfPWV) and baPWV were associated with risk of CAD. baPWV had significant interaction with age, TC, TG, HDL-C and LDL-C, carotid-femoral PWV (cfWV) was correlated with age, HDL-C and LDL-C.
Conclusion:
This study showed that baPWV and cfPWV are two independent factors for the risk of Coronary artery disease, and baPWV and cfPWV have interaction with age, TC, TG, HDL-C and LDL-C.
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