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Updated: Nov 1, 2025

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Non-Invasive Methods for PWV Measurement in Blood Vessel Stiffness Assessment
Insights
Pulse wave velocity (PWV) is a key predictor of cardiovascular diseases (CVD) and arterial stiffness (AS). This review examines non-invasive PWV devices, their methods, and limitations for clinical practice.
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Medical Devices
Background:
- Cardiovascular diseases (CVD) incidence is rising, increasing healthcare costs globally.
- Pulse wave velocity (PWV) is a crucial predictor of CVD and a marker of arterial stiffness (AS).
- Increased PWV indicates a stiffer arterial system, a common finding in older individuals.
Purpose of the Study:
- To review commercially available non-invasive devices for measuring PWV.
- To analyze the operating principles, including sensors, measurement sites, and algorithms.
- To highlight the limitations of current non-invasive PWV assessment methods in clinical practice.
Main Methods:
- Review of existing literature on non-invasive PWV measurement techniques.
- Analysis of commercially available PWV devices, focusing on their technology and application.
- Comparison of regional versus local PWV measurements.
Main Results:
- Non-invasive PWV assessment, particularly carotid-femoral PWV, is the gold standard for evaluating arterial damage and cardiovascular risk.
- Various devices employ different sensors and methods for pulse waveform acquisition and distance/time estimation.
- Current limitations include variability in measurement accuracy and clinical applicability.
Conclusions:
- Non-invasive PWV measurement is vital for assessing arterial stiffness and cardiovascular risk.
- Understanding device-specific principles and limitations is crucial for accurate clinical application.
- Further development is needed to enhance the reliability and utility of non-invasive PWV devices.
Abstract:
In recent years, statistical studies highlighted an increasing incidence of cardiovascular diseases (CVD) which reflected on additional costs on the healthcare systems worldwide. Pulse wave velocity (PWV) measurement is commonly considered a CVD predictor factor as well as a marker of Arterial Stiffness (AS) since it is closely related to the mechanical characteristics of the arterial wall. An increase in PWV is due to a more rigid arterial system. Because of the prevalence of the elastic component, in young people the PWV is lower than in the elderly. Nowadays, invasive and non-invasive methods for PWV assessment are employed: there is an increasing attention in the development of non-invasive devices which mostly perform a regional PWV measurement (over a long arterial portion) rather than local (over a short arterial portion). The accepted gold-standard for non-invasive AS measurement is the carotid-femoral PWV used to evaluate the arterial damage, the corresponding cardiovascular risk and to adapt the proper therapy. This review article considers the main commercially available devices underlining their operating principles in terms of sensors, execution mode, pulse waveforms acquired, site of measurement, distance and time estimation methods, as well as their main limitations in clinical practice.
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