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Updated: Mar 2, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Pulse wave velocity measurement as a marker of arterial stiffness in pediatric inflammatory bowel disease: a pilot
Eberhard Lurz1,2, Eliane Aeschbacher1,3, Nicholas Carman2
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland.
Insights
Arterial stiffness (AS) is not elevated in children with inflammatory bowel disease (IBD) in remission. Pulse wave velocity (PWV) measurements suggest normal vascular health in pediatric IBD patients without cardiovascular disease signs.
Area of Science:
- Pediatric Cardiology
- Gastroenterology
- Vascular Biology
Background:
- Inflammatory bowel disease (IBD) is linked to increased cardiovascular event risk in adults.
- Arterial stiffness (AS), measured by pulse wave velocity (PWV), is an early indicator of cardiovascular disease (CVD).
- PWV measurement is a feasible method for assessing AS in pediatric populations.
Purpose of the Study:
- To evaluate arterial stiffness (AS) in children and adolescents diagnosed with inflammatory bowel disease (IBD).
- To determine if PWV measurements indicate increased AS in pediatric IBD patients.
Main Methods:
- Prospective study involving 25 children and adolescents with IBD.
- Carotid-femoral pulse wave velocity (PWVcf) was measured to assess arterial stiffness.
- Patient data included disease status (remission/activity) and treatments (e.g., anti-TNFα).
Main Results:
- Arterial stiffness (AS) was not found to be increased in the studied cohort of pediatric IBD patients.
- No signs of cardiovascular disease, such as arterial hypertension, were present in the participants.
- The majority of subjects (68%) were in clinical remission, and 48% were on anti-TNFα therapy.
Conclusions:
- Pulse wave velocity (PWV) appears normal in children with IBD experiencing remission or mild disease activity.
- Further research with larger studies is recommended to validate PWV as a non-invasive follow-up marker for children with IBD.
- Early detection and monitoring via PWV could help prevent future cardiovascular complications in pediatric IBD patients.
Abstract:
In adults with inflammatory bowel disease (IBD), the incidence of cardiovascular events is increased, leading to long-term morbidity. Arterial stiffness (AS) measured by pulse wave velocity (PWV) is a validated early precursor of cardiovascular disease (CVD), and measurement of PWV was shown to be a feasible test in children. The aim of this study was to assess AS in children with IBD. In this prospective study, we determined PWV between the carotid and femoral artery (PWVcf) in 25 children and adolescents with IBD (11 females, median age 14.1 years, median disease duration 2.8 years). The majority (68%) of the subjects were in clinical remission, and 48% received anti-tumor necrosis factor alpha (TNFα) treatment. AS was not increased in this cohort of children and adolescents with IBD, who did not have signs of cardiovascular disease, such as arterial hypertension.
Conclusion:
PWV seems to be normal in children with IBD in remission or with mild disease activity. Larger studies should assess its potential role as a valid and non-invasive follow-up marker in children with IBD, to avoid cardiovascular complications. What is Known : • Inflammatory bowel disease (IBD) is a risk factor of cardiovascular disease (CVD). • Pulse wave velocity (PWV) measurement is the current gold standard to assess arterial stiffness (AS), which is an early predictor of CVD. What is New: • This is the first study using PWV measurements to determine AS in children with IBD. • In children with IBD in remission or only mild disease activity AS is not increased.
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