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.
Abstract

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