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Updated: Jan 23, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Applications of arterial stiffness markers in peripheral arterial disease
Daniel Mendes-Pinto1,2, Maria da Glória Rodrigues-Machado2
1Departamento de Cirurgia Vascular, Hospital Felício Rocho, Belo Horizonte, MG, Brasil.
Insights
Assessing arterial stiffness, using measures like pulse wave velocity (PWV) and augmentation index (AIx), can help identify cardiovascular risk. This review explores its utility in patients with peripheral arterial disease.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
- Clinical Physiology
Background:
- Arterial stiffness, a marker of cardiovascular risk, impacts aortic and elastic artery function.
- Key noninvasive measures include pulse wave velocity (PWV) and augmentation index (AIx).
- Elevated PWV or AIx is linked to increased mortality in coronary disease and hemodialysis patients.
Purpose of the Study:
- To review the applicability and clinical utility of arterial stiffness assessment.
- To explore the association between arterial stiffness and peripheral arterial disease (PAD).
Main Methods:
- Review of existing literature on arterial stiffness measures.
- Analysis of noninvasive techniques for assessing PWV and AIx.
- Examination of studies correlating arterial stiffness with cardiovascular outcomes.
Main Results:
- Arterial stiffness measures (PWV, AIx) are established cardiovascular risk predictors.
- Limited research currently exists on arterial stiffness in patients with PAD.
- Noninvasive assessment of arterial stiffness is feasible in diverse patient groups.
Conclusions:
- Arterial stiffness assessment offers potential for early cardiovascular risk identification in PAD patients.
- Further research is warranted to establish the prognostic value of arterial stiffness in PAD.
- Integrating arterial stiffness measures may enhance therapeutic strategies for PAD.
Abstract:
Arterial stiffness has been analyzed in many different population groups with the objective of identifying cardiovascular risk early and performing specific therapeutic interventions. Increased arterial stiffness affects the capacity of the aorta and elastic arteries to adapt to pressure variations during the cardiac cycle. The main markers of arterial stiffness are pulse wave velocity (PWV), augmentation index (AIx) and central aortic pressure. They can be measured noninvasively. Patients with coronary disease or on hemodialysis who have elevated PWV or AIx have increased mortality. The association with peripheral arterial disease has been studied little. The objective of this review is to demonstrate the applicability and utility of assessing measures of arterial stiffness in patients with peripheral arterial disease.
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