Evidence mapPaperPMID 40970484Full record

ArticleJournal of hypertension2026

Relation of carotid-to-femoral pulse wave velocity to aortic stiffness and total arterial compliance in healthy individuals.

Cemre Çelikbudak Orhon, Dionysios Adamopoulos, Lindsey A Crowe, Lydia Aslanidou, Miklos Kassai, Ibtisam Aslam, François Mach, Jean-François Deux, Jean-Paul Vallée, Nikolaos Stergiopulos

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Article in Journal of hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Cemre Çelikbudak OrhonLaboratory of Hemodynamics and Cardiovascular Technology, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Vaud.
Dionysios AdamopoulosDivision of Cardiology.
Lindsey A CroweDivision of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
Lydia AslanidouLaboratory of Hemodynamics and Cardiovascular Technology, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Vaud.
Miklos KassaiDivision of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
Ibtisam AslamDivision of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
François MachDivision of Cardiology.
Jean-François DeuxDivision of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
Jean-Paul ValléeDivision of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
Nikolaos StergiopulosLaboratory of Hemodynamics and Cardiovascular Technology, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Vaud.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid-to-femoral pulse wave velocity (c-f PWV) is commonly used to assess large artery stiffness, particularly as a surrogate of aortic stiffness. Given that c-f PWV represents the average stiffness of all main arteries along the carotid-to-femoral arterial pathway, without specifically accounting for the stiffness of the proximal aorta, we hypothesized that c-f PWV may not represent stricto sensu the stiffness of the ascending aorta (AAO), which is the main contributor to total arterial compliance ( CT ).

methodsTo test our hypothesis, we recruited 45 healthy volunteers from different age groups. We evaluated the relation between c-f PWV and different indices of proximal aorta stiffness calculated from distensibility (AAO dist PWV) and characteristic impedance (Zc) in frequency (AAO Z c(f) PWV) and time domain (AAO Zc(t) PWV) and compared their relationships with age and CT . 2D phase contrast MRI was performed to measure AAO flow and cross-sectional area. Tonometry was used to obtain c-f PWV and pressure waveforms.

resultsIn healthy individuals, AAO PWV indices demonstrated a strong relationship with each other ( R  ≥ 0.86), but c-f PWV did not show high correlations with AAO PWV indices ( R  ≤ 0.50). All AAO PWV indices increased with age ( P  ≤ 0.05); however, c-f PWV did not increase from young to middle-aged ( P  = 0.13) and middle-aged to old age groups ( P  = 0.28). AAO PWV indices correlated well with C T ( R2  ≥ 0.60), whereas c-f PWV did not ( R2  = 0.23).

conclusionThe present study reveals that a complete understanding of large artery stiffness requires the direct assessment of proximal aortic stiffness rather than surrogate indices such as c-f PWV.

Indexed as

AortaCarotid ArteriesCarotid-Femoral Pulse Wave VelocityFemoral ArteryVascular StiffnessAdultAgedComplianceFemaleHumansMaleMiddle AgedPulse Wave AnalysisYoung Adultaortic stiffnesscardiovascular risk factorscarotid-to-femoral pulse wave velocityhealthy agingtotal arterial compliance

Identifiers

PMID40970484
PMCPMC12672044

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.