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Updated: Jul 5, 2025

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Association of Segment-Specific Pulse Wave Velocity With Vascular Calcification: The ARIC (Atherosclerosis Risk in
Kentaro Ejiri1, Ning Ding2, Esther Kim3
1Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Insights
Pulse wave velocity (PWV) measures arterial stiffness and predicts cardiovascular disease. Certain PWV measures, particularly carotid-femoral PWV, can help identify individuals with coronary artery calcium and descending aorta calcification.
Area of Science:
- Cardiovascular research
- Vascular medicine
- Biomedical engineering
Background:
- Pulse wave velocity (PWV) is a noninvasive indicator of arterial stiffness and a predictor of cardiovascular disease.
- The relationship between PWV and calcification in various vascular beds requires further investigation.
Purpose of the Study:
- To quantify the association between PWV and calcification in multiple vascular territories.
- To determine if PWV can identify individuals with vascular calcification beyond established risk factors.
Main Methods:
- Analysis of data from 1351 older adults in the ARIC study.
- Measurement of segment-specific PWVs (e.g., carotid-femoral, brachial-ankle).
- Assessment of high calcium scores (Agatston score ≥75th percentile) in coronary arteries and aorta.
Main Results:
- Several PWVs, including carotid-femoral PWV, were significantly associated with coronary artery calcification.
- PWVs showed the strongest association with descending aorta calcification.
- Certain PWVs enhanced the identification of coronary artery and descending aorta calcification beyond traditional risk factors.
Conclusions:
- The association between PWV and vascular calcification differs across arterial segments.
- Descending aorta calcification is most strongly linked to PWV measurements.
- Carotid-femoral PWV is particularly useful for identifying individuals with coronary artery and descending aorta calcification.
Background:
Pulse wave velocity (PWV) is a noninvasive measure of arterial stiffness and predictor of cardiovascular disease. However, the association between PWV and vascular calcification across different vascular beds has not been fully investigated. This study aimed to quantify the association between PWV and multiterritory calcification and to explore whether PWV can identify individuals with vascular calcification beyond traditional risk factors.
Methods And Results:
Among 1351 older adults (mean age, 79.2 years [SD, 4.1]) from the ARIC (Atherosclerosis Risk in Communities) study, we measured segment-specific PWVs: heart-carotid, heart-femoral, carotid-femoral, heart-ankle, brachial-ankle, and femoral-ankle. Dependent variables were high calcium score (≥75th percentile of Agatston score) across different vascular beds: coronary arteries, aortic valve ring, aortic valve, mitral valve, ascending aorta, and descending aorta. Quartiles of carotid-femoral, heart-femoral, heart-ankle, and brachial-ankle PWV were significantly associated with coronary artery calcium (eg, adjusted odds ratio [OR] for the highest versus lowest quartile of carotid-femoral PWV, 1.84 [95% CI, 1.24-2.74]). Overall, PWVs were most strongly associated with descending aorta calcification, with significant results for carotid-femoral, heart-femoral, heart-ankle, and brachial-ankle PWV (eg, adjusted OR for the highest versus lowest quartile of carotid-femoral PWV, 3.99 [95% CI, 2.61-6.17]). In contrast, femoral-ankle PWV was inversely associated with descending aorta calcification. Some PWVs improved the discrimination of coronary artery calcium and descending aorta calcification beyond traditional risk factors.
Conclusions:
The associations of PWV with vascular calcification varied substantially across segments, with descending aorta calcification most closely linked to PWVs. Our study suggests that some PWVs, especially carotid-femoral PWV, are helpful to identify individuals with coronary artery calcium and descending aorta calcification.
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