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 exam findings suggestive of PAD.[2] This group comprises people:
Who are aged ≥65 years
Who are aged 50-64 years with risk factors for atherosclerosis (e.g., diabetes mellitus, history of smoking, hyperlipidemia, hypertension) or a family history of PAD
Who are aged <50 years 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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