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Updated: Mar 30, 2026

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Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
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Pulse Wave Velocity in Postmenopausal Women
Hiromichi Suzuki1, Kazuoki Kondo2
1Department of Nephrology, Saitama Medical University, Saitama, Japan.
Pulse (Basel, Switzerland)
|November 21, 2015
Summary
Pulse wave velocity (PWV) may serve as a marker for cardiovascular disease (CVD) and osteoporosis in postmenopausal women. Estrogen deficiency and inflammation contribute to arterial stiffness, but the precise role of hormone replacement therapy (HRT) remains unclear.
Area of Science:
- Cardiovascular science
- Endocrinology
- Gerontology
Background:
- Cardiovascular disease (CVD) and osteoporosis are significant health concerns for postmenopausal women.
- Overlapping pathophysiological mechanisms link atherosclerosis and osteoporosis.
- Arterial stiffness, assessed by pulse wave velocity (PWV), is a predictor of mortality and is implicated in the association between CVD and osteoporosis.
Purpose of the Study:
- To review the role of PWV as a potential surrogate marker for CVD and osteoporosis in postmenopausal women.
- To explore the influence of menopause, estrogen deficiency, and inflammation on arterial stiffness.
- To examine the controversial effects of hormone replacement therapy (HRT) on PWV in this population.
Main Methods:
- Review of existing epidemiological data and studies on arterial stiffness.
- Analysis of factors influencing PWV, including cardiovascular risk factors and menopausal status.
- Evaluation of the impact of HRT on PWV in postmenopausal women.
Main Results:
- Menopause and aging are associated with increased arterial stiffness in women.
- Established cardiovascular risk factors are determinants of PWV.
- The effect of HRT on PWV in postmenopausal women is controversial and requires further investigation.
Conclusions:
- Estrogen deficiency and inflammatory cytokines likely contribute to increased PWV in postmenopausal women.
- PWV may serve as a surrogate marker for both CVD and osteoporosis.
- Further research is needed to clarify the complex mechanisms of arterial stiffness and the role of HRT in postmenopausal women.
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