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Updated: Feb 9, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Comparison between pulse wave velocities measured using Complior and measured using Biopac
Marit H N van Velzen1,2, Robert Jan Stolker3, Arjo J Loeve4
1Laboratory of Experimental Anesthesiology, Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, The Netherlands. m.v.velzen@jbz.nl.
The Biopac and Complior systems show good agreement for measuring arterial stiffness changes over time, despite Biopac yielding lower pulse wave velocity (PWV) values. Awareness of system-specific PWV magnitudes is crucial for accurate cardiovascular disease diagnosis.
Area of Science:
- Cardiovascular Physiology
- Biomedical Engineering
- Diagnostic Technology
Background:
- Arterial stiffness is a key prognostic indicator for cardiovascular diseases.
- Pulse wave velocity (PWV) quantifies arterial stiffness and its changes.
- Two systems, Complior and Biopac, are used to measure PWV, but their comparability is not well-established.
Purpose of the Study:
- To compare the comparability and correlation of PWV measurements between the Complior and Biopac systems.
- To evaluate system performance under various physiological conditions (sitting, lying, standing).
- To determine if either system can reliably track changes in arterial stiffness.
Main Methods:
- Twenty-five healthy volunteers (20-30 years old) participated.
- PWV was measured sequentially in sitting, lying, standing, and sitting positions.
- Measurements were taken using both the Complior (carotid-radial) and Biopac (heart-fingertip) systems.
- Correlation coefficients and Bland-Altman plots were used for statistical analysis.
Main Results:
- The Biopac system consistently measured significantly lower PWV values than the Complior system across all positions.
- Despite the difference in absolute values, correlation analyses and Bland-Altman plots indicated good agreement between the two systems.
- Both systems demonstrated the ability to detect changes in PWV.
Conclusions:
- The Biopac and Complior systems provide comparable measurements of PWV changes over time, provided the magnitude differences are considered.
- Either system can be utilized for monitoring arterial stiffness progression or regression.
- Caution is advised when interpreting absolute PWV values, as they are system-dependent.
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