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‹ Sat · 28 Mar 2026
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Estimated pulse wave velocity and its role in atherosclerotic cardiovascular disease prevalence and mortality outcomes among U.S. adults

A simple blood-pressure-based measure of vascular aging strongly predicts heart disease and premature death, offering a scalable tool to refine cardiovascular risk assessment.

This large NHANES-based analysis of 34,200 U.S. adults found that estimated pulse wave velocity — a non-invasive marker of vascular aging derivable from age, sex, and blood pressure — is strongly associated with prevalent atherosclerotic cardiovascular disease and nearly doubles all-cause mortality and 2.35-fold increases cardiovascular mortality risk per SD increase. These findings support ePWV as a scalable vascular aging marker that could supplement traditional risk models.

What the study was

Study design
Cross-sectional + survival analysis (NHANES 2001-2018, n=34,200)
Population
U.S. adults aged ≥20 years; nationally representative NHANES sample
Sample size
34200
Category
Diagnostics
Maturity
Validated
Journal
Heart & Lung

Why it surfaced

Large nationally representative sample (n=34,200) with long follow-up; ePWV is easily calculable from routine clinical data; results add to vascular aging literature but concept is established.

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