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Leg-elevation test Lie on your back on a bed and raise your legs 60 degrees, bend and extend your knees for about 30 seconds to 1 minute. The foot with poor blood flow may become pale or feel painful.
Angiography. This test uses X-rays, magnetic resonance imaging (MRI) scans or computerized tomography (CT) scans to look for blockages in the arteries. Before the images are taken, dye (contrast) is injected into a blood vessel. The dye helps the arteries show up more clearly on the test images.
Although the diagnostic accuracy of computed tomography (CT) angiography is the gold standard for the detection of PAD [1], adding other diagnostic tools after ABI such as treadmill tests, ultrasound imaging, MRI imaging and digital subtraction angiography, is also invaluable for detecting PAD/LEAD [2].
The ankle-brachial index (ABI) test is usually the first test used to diagnose PAD. The test compares blood pressure in your ankle with the blood pressure in your arm. Your provider uses a blood pressure cuff and ultrasound device for this painless test.
It is primarily caused by the buildup of fatty plaque in the arteries, which is called atherosclerosis. PAD can happen in any blood vessel, but it is more common in the legs than the arms.

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The ankle brachial pressure index (ABPI) test is widely used to diagnose PAD, as well as assess how well you're responding to treatment. If your circulation is healthy, the blood pressure in both parts of your body should be exactly or almost the same. This would make the result of your ABPI 1.
The General Physical Exam for Patients with Peripheral Arterial Disease. Patients at increased risk for PAD should undergo a thorough vascular examination. The femoral, popliteal, dorsalis pedis, and posterior tibial artery pulses should be palpated.
Who Should Be Screened for PAD? According to American and international guidelines, people older than 50 years of age with a history of diabetes mellitus or smoking should have an ankle blood pressure test. In addition, anyone older than 65 years of age should undergo an ankle blood pressure test to evaluate for PAD.
Although the diagnostic accuracy of computed tomography (CT) angiography is the gold standard for the detection of PAD [1], adding other diagnostic tools after ABI such as treadmill tests, ultrasound imaging, MRI imaging and digital subtraction angiography, is also invaluable for detecting PAD/LEAD [2].
A simple, quick and non-invasive procedure, the peripheral artery disease test only requires removing the socks and shoes. Blood pressure cuffs are placed around the upper arms and ankles. A small ultrasound device will then measure the systolic blood pressure in your limbs.

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