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Updated: Mar 7, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Estimated Pulse Wave Velocity Calculated from Age and Mean Arterial Blood Pressure
Sara V Greve1, Stephan Laurent2, Michael H Olsen3
1Department of Endocrinology, Cardiovascular and Metabolic Preventive Clinic, Centre for Individualized Medicine in Arterial Diseases, Odense University Hospital, Odense, Denmark.
Insights
Estimated pulse wave velocity (ePWV) effectively predicts cardiovascular disease (CVD) risk, matching the accuracy of measured carotid-femoral pulse wave velocity (cfPWV). This suggests ePWV may offer a simpler alternative to the traditional cfPWV measurement for CVD risk assessment.
Area of Science:
- Cardiovascular medicine
- Biomedical engineering
- Clinical diagnostics
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality worldwide.
- Pulse wave velocity (PWV) is a key indicator of arterial stiffness and a predictor of CVD risk.
- Carotid-femoral PWV (cfPWV) is the gold standard for measuring PWV but requires specialized equipment and time.
Purpose of the Study:
- To evaluate if estimated PWV (ePWV), calculated via an equation using age and blood pressure, predicts CVD risk comparably to measured cfPWV.
- To explore the potential of ePWV as a more accessible alternative to cfPWV in clinical practice.
Main Methods:
- The study reviews findings comparing the predictive performance of ePWV against cfPWV for cardiovascular events.
- Analysis focuses on the accuracy and clinical utility of ePWV derived from established formulas.
Main Results:
- The estimated PWV (ePWV) demonstrates a predictive capacity for cardiovascular disease (CVD) that is equivalent to that of measured carotid-femoral PWV (cfPWV).
- This indicates that ePWV is a viable surrogate for cfPWV in assessing CVD risk.
Conclusions:
- Estimated PWV (ePWV) offers a comparable predictive value for cardiovascular disease (CVD) as measured carotid-femoral PWV (cfPWV).
- ePWV presents a potentially simpler and more cost-effective method for CVD risk stratification in clinical settings, reducing the need for expensive cfPWV measurements.
Abstract:
In a recently published paper, Greve et al [J Hypertens 2016;34:1279-1289] investigate whether the estimated carotid-femoral pulse wave velocity (ePWV), calculated using an equation derived from the relationship between carotid-femoral pulse wave velocity (cfPWV), age, and blood pressure, predicts cardiovascular disease (CVD) as good as the measured cfPWV. Because ePWV predicts CVD as good as cfPWV, some might wonder whether ePWV could be replaced by cfPWV, which is a time-consuming measurement requiring an expensive apparatus. This question is addressed in this mini-review.
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