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Updated: Jan 30, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Evaluation of Arterial Stiffness Using Pulse Wave Velocity and Augmentation Index in Patients with Chronic Venous
Mustafa Dogdus1, Onur Akhan2, Mehmet Ozyasar1
1Karaman State Hospital, Department of Cardiology, 70100 Karaman, Turkey.
Insights
Arterial stiffness, measured by pulse wave velocity (PWV) and augmentation index (Aix), is significantly higher in patients with chronic venous insufficiency (CVI). These arterial stiffness measures are independent predictors of CVI.
Area of Science:
- Vascular Medicine
- Cardiology
- Medical Diagnostics
Background:
- Chronic venous insufficiency (CVI) is a prevalent circulatory condition with significant patient morbidity and healthcare costs.
- Arterial stiffness is a known predictor of cardiovascular events and mortality.
- The association between CVI and arterial stiffness has not been fully elucidated.
Purpose of the Study:
- To evaluate the relationship between chronic venous insufficiency (CVI) and arterial stiffness.
- To assess arterial stiffness using pulse wave velocity (PWV) and augmentation index (Aix).
Main Methods:
- Sixty-two patients with C3-C5 chronic venous disease (CVD) and 48 healthy controls were enrolled.
- Arterial stiffness was assessed using an ambulatory blood pressure monitor (I.E.M. Mobil-O-Graph).
- Pulse wave velocity (PWV) and augmentation index (Aix) were the primary measures of arterial stiffness.
Main Results:
- Patients with CVI exhibited significantly higher PWV and Aix compared to healthy controls (p=0.001 and p=0.003, respectively).
- A positive linear correlation was found between CVI severity and both PWV (r=0.675) and Aix (r=0.659).
- A PWV threshold of > 9.2 demonstrated 88.9% sensitivity and 71.4% specificity for predicting CVI.
Conclusions:
- Pulse wave velocity (PWV) and augmentation index (Aix) are reliable and reproducible clinical methods for assessing arterial stiffness.
- PWV and Aix were identified as independent predictors of CVI through logistic regression analysis.
- PWV shows significant potential as a diagnostic tool for CVI, with high sensitivity and specificity.
Background And Objectives:
Chronic venous insufficiency (CVI) is a common pathology of the circulatory system and is associated with a high morbidity for the patients and causes high costs for the healthcare systems. Arterial stiffness has been shown to be a predictor of cardiovascular events and mortality. The relationship between CVI and arterial stiffness using pulse wave velocity (PWV) and augmentation index (Aix) was evaluated in this study.
Methods:
Sixty-two patients with the stage of C3-C5 chronic venous disease (CVD) and 48 healthy subjects were enrolled in the study. To assess arterial stiffness, all cases were evaluated with I.E.M. Mobil-O-Graph brand ambulatory blood pressure monitor device. PWV and Aix were used to assess arterial stiffness in this study.
Results:
The mean age was 61.9±11.05 years and 54 % of the patient population was females. PWV and Aix were significantly higher in CVI patients than controls (8.92±1.65 vs. 8.03±1.43, p=0.001; 25.51±8.14 vs. 20.15±9.49, p=0.003, respectively) and also positive linear correlation was observed between CVI and all measured arterial stiffness parameters (r=0.675 for CVI and PWV, r=0.659 for CVI and Aix, respectively). A PWV value of > 9.2 has 88.9 % sensitivity and 71.4 % specificity to predict the presence of CVI.
Conclusions:
PWV and Aix are the most commonly used, easy, reproducible, reliable methods in the clinic to assess arterial stiffness. Logistic regression analysis showed that PWV and Aix were the independent predictors of CVI. PWV has the sensitivity of 88.9 % and specificity of 71.4 % to detect the presence of CVI.
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