Screening

According to the American College of Cardiology/American Heart Association guideline, it is reasonable to measure the ankle-brachial index in people at increased risk of peripheral arterial disease (PAD) but who have no history or physical examination findings suggestive of PAD.[2] This group comprises of people:

  • Who are aged ≥65 years

  • Who are aged 50-64 years with risk factors for atherosclerosis (e.g., diabetes mellitus, history of smoking, hyperlipidaemia, hypertension) or a family history of PAD

  • Who are <50 years old with diabetes mellitus and one additional risk factor for atherosclerosis

  • With known atherosclerotic disease in another vascular bed (e.g., coronary, carotid, subclavian, renal, mesenteric artery stenosis, or abdominal aortic aneurysm)

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