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Updated: Mar 6, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial stiffness and cognitive function
1Département de gériatrie, CHRU-Nancy, Nancy, France ; Inserm U1116, Faculté de médecine, Nancy, France ; Université de Lorraine, Nancy, France.
Insights
Arterial stiffness, a key indicator of cardiovascular risk, is linked to cognitive decline and dementia. Early detection and management of arterial stiffness are crucial for preventing serious health events.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Geriatrics
Background:
- Arterial stiffness predicts cardiovascular morbidity and mortality, particularly in elderly, hypertensive patients.
- Increased arterial stiffness during midlife is associated with cardiovascular events and cognitive decline.
- Aortic stiffness correlates with poorer cognitive memory test performance.
Purpose of the Study:
- To explore the association between arterial stiffness and cognitive decline.
- To highlight the role of arterial stiffness in dementia pathogenesis.
- To emphasize the importance of early detection and management of arterial stiffness.
Main Methods:
- Pulse wave velocity assessment as the gold standard for measuring arterial stiffness.
- Observational studies correlating aortic stiffness with cognitive function.
- Analysis of microvascular alterations linked to arterial stiffness.
Main Results:
- Arterial stiffness is associated with microvascular resistance, leukoaraiosis, and medial temporal lobe atrophy.
- Higher aortic stiffness levels correlate with impaired cognitive memory performance.
- Arterial stiffness contributes to the pathogenesis of dementia, including Alzheimer's disease.
Conclusions:
- Arterial stiffness is a significant predictor of cardiovascular events and cognitive impairment.
- Microvascular changes associated with arterial stiffness play a role in dementia.
- Early detection and management of arterial stiffness are vital for mitigating cardiovascular and cognitive risks.
Abstract:
Arterial stiffness is an independent predictor of morbidity (infarction, fatal stroke) and cardiovascular mortality, especially in elderly, hypertensive patients with pre-terminal renal insufficiency and in coronary disease patients. The gold standard of its measurement is the pulse wave velocity assessment. The important increase in arterial stiffness that occurs during midlife is associated with the occurrence of severe cardiovascular and cerebrovascular events and also cognitive decline. The causal relationship between stiffening of the arterial tree and cognitive disorders has not yet been clearly established, however, many studies show a relationship between higher levels of aortic stiffness and poorer performance on cognitive memory tests. Arterial stiffness is associated with microvascular alterations, with an increase in microvascular resistance, an increase in leukoaraisosis and also medial temporal lobe atrophy. These damages contribute to dementia pathogenesis (including Alzheimer's disease) and confirm the importance of early detection and management of arterial stiffness increase.
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