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Expert consensus on the clinical use of pulse wave velocity in Asia

Citation

Park, JB and Sharman, JE and Li, Y and Munakata, M and Shirai, K and Chen, C-H and Jae, SY and Tomiyama, H and Kosuge, H and Bruno, RM and Spronck, B and Kario, K and Lee, HY and Cheng, H-M and Wang, J and Budoff, M and Townsend, RR and Avolio, AP, Expert consensus on the clinical use of pulse wave velocity in Asia, Pulse, 10, (1-4) pp. 1-18. ISSN 2235-8668 (2022) [Refereed Article]


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Copyright Statement

2022 The Author(s) Published by S. Karger AG, Basel. This is an Open Access article licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/(http://www.karger.com/Services/OpenAccessLicense).

DOI: doi:10.1159/000528208

Abstract

Arterial stiffness is a progressive aging process that predicts cardiovascular disease. Pulse wave velocity (PWV) has emerged as a noninvasive, valid, and reliable measure of arterial stiffness and an independent risk predictor for adverse outcomes. However, up to now PWV measurement has mostly been used as a tool for risk prediction and has not been widely used in clincial practice. This consensus paper aims to discuss multiple PWV measurements currently available in Asia and to provide evidence-based assessment together with recommendations on the clinical use of PWV. For the methodology, PWV measurement including the central elastic artery is essential and measurements including both the central elastic and peripheral muscular arteries, such as brachial-ankle PWV and Cardio-Ankle Vascular Index, can be a good alternative. As Asian populations are rapidly aging, timely detection and intervention of "early vascular aging" in terms of abnormally high PWV values is recommended. More evidence is needed to determine if a PWV-guided therapeutic approach will be beneficial to the prevention of cardiovascular diseases beyond current strategies. Large-scale randomized controlled intervention studies are needed to guide clinicians.

Item Details

Item Type:Refereed Article
Keywords:arterial stiffness, hypertension, public health
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:154488
Year Published:2022
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-12-05
Last Modified:2023-01-16
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