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Recommendations for Diagnostic Testing for the Patient with Suspected Lower Extremity PAD (Claudication or Chronic Limb Ischemia)

Recommendations for Resting ABI (Ankle-Brachial Index) for Diagnosing PAD:

Class I
"1. In patients with history or physical examination findings suggestive of PAD (Table 1), the resting ABI, with or without segmental pressures and waveforms, is recommended to establish the diagnosis.(Level of Evidence: B-NR)"
"2. Resting ABI results should be reported as abnormal (ABI ≤0.90), borderline (ABI 0.91–0.99), normal (1.00–1.40), or noncompressible (ABI >1.40). (Level of Evidence: C-LD)"
Class III (No Benefit)
"1. In patients not at increased risk of PAD and without history or physical examination findings suggestive of PAD (Table 1), the ABI is not recommended. (Level of Evidence: B-NR)"
Class IIa
"1. In patients at increased risk of PAD but without history or physical examination findings suggestive of PAD (Table 1), measurement of the resting ABI is reasonable. (Level of Evidence: B-NR)"
Table1: History and/or Physical Examination Findings Suggestive of PAD*