Related Experiment Video
Updated: Nov 15, 2025

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial stiffness in acute COVID-19 and potential associations with clinical outcome
S Schnaubelt1, J Oppenauer1, D Tihanyi2
1From the, Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Insights
Coronavirus disease 2019 (COVID-19) increases arterial stiffness, indicated by higher pulse wave velocity (PWV). This enhanced arterial stiffness may correlate with longer hospital stays and increased mortality in patients with COVID-19.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Vascular Biology
Background:
- Coronavirus disease 2019 (COVID-19) is known to affect the vascular endothelium.
- The impact of COVID-19 on arterial stiffness remains largely uncharacterized.
Purpose of the Study:
- To investigate whether COVID-19 influences arterial stiffness.
- To compare pulse wave velocities (PWV) in patients with and without COVID-19.
Main Methods:
- A case-control study design was employed.
- Brachial-ankle pulse wave velocity (baPWV) and carotid-femoral pulse wave velocity (cfPWV) were measured in acutely ill patients.
- Patients with COVID-19 were compared to age- and sex-matched controls.
Main Results:
- COVID-19 patients exhibited significantly higher baPWV and cfPWV compared to controls.
- COVID-19 was independently associated with increased cfPWV and baPWV in regression analysis.
- Elevated PWV values were observed in non-survivors, and PWV correlated with hospital stay duration in survivors.
Conclusions:
- COVID-19 is associated with enhanced pulse wave velocity, suggesting increased arterial stiffness.
- Elevated arterial stiffness in COVID-19 patients may be linked to prolonged hospitalization and higher mortality rates.
Background:
Coronavirus disease 2019 (COVID-19) interferes with the vascular endothelium. It is not known whether COVID-19 additionally affects arterial stiffness.
Methods:
This case-control study compared brachial-ankle pulse wave (baPWV) and carotid-femoral pulse wave velocities (cfPWV) of acutely ill patients with and without COVID-19.
Results:
Twenty-two COVID-19 patients (50% females, 77 [67-84] years) were compared with 22 age- and sex-matched controls. In COVID-19 patients, baPWV (19.9 [18.4-21.0] vs. 16.0 [14.2-20.4], P = 0.02) and cfPWV (14.3 [13.4-16.0] vs. 11.0 [9.5-14.6], P = 0.01) were higher than in the controls. In multiple regression analysis, COVID-19 was independently associated with higher cfPWV (β = 3.164, P = 0.004) and baPWV (β = 3.532, P = 0.003). PWV values were higher in nonsurvivors. In survivors, PWV correlated with length of hospital stay.
Conclusion:
COVID-19 appears to be related to an enhanced PWV reflecting an increase in arterial stiffness. Higher PWV might be related to an increased length of hospital stay and mortality.
Related Concept Videos
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Acute Coronary Syndrome III: Diagnostic Studies
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...

