Proposed Cutoff Value of Brachial-Ankle Pulse Wave Velocity for the Management of Hypertension

Circ J. 2017 Sep 25;81(10):1540-1542. doi: 10.1253/circj.CJ-17-0636. Epub 2017 Aug 24.

Abstract

Background: The optimal cutoff values of the brachial-ankle pulse wave velocity (baPWV) for predicting cardiovascular disease (CVD) were examined in patients with hypertension.Methods and Results:A total of 7,656 participants were followed prospectively. The hazard ratio for the development of CVD increased significantly as the baPWV increased, independent of conventional risk factors. The receiver-operating characteristic curve analysis showed that the optimal cutoff values for predicting CVD was 18.3 m/s. This cutoff value significantly predicted THE incidence of CVD.

Conclusions: The present analysis suggests that the optimal cutoff value for CVD in patients with hypertension is 18.3 m/s.

Keywords: Arterial stiffness; Hypertension; Pulse wave velocity.

MeSH terms

  • Ankle Brachial Index / standards*
  • Cardiovascular Diseases / diagnosis
  • Disease Management
  • Female
  • Humans
  • Hypertension / complications
  • Hypertension / diagnosis*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Pulse Wave Analysis / standards*
  • ROC Curve