Diagnostic testing for lower extremity peripheral arterial disease
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease[1]
Recommendations for Diagnostic Testing for the Patient with Suspected Lower Extremity PAD (Claudication or Chronic Limb Ischemia)
Recommendations for Resting ABI 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 5), measurement of the resting ABI is reasonable (Level of Evidence: B-NR)" |
Table1: History and/or Physical Examination Findings Suggestive of PAD* |
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History
Physical Examination
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*Adapted from 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease |
Recommendations for Physiological Testing for Diagnosing PAD
Recommendations for Imaging for Anatomic Assessment for Diagnosing PAD
References
- ↑ Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE; et al. (2016). "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines". Circulation. doi:10.1161/CIR.0000000000000471. PMID 27840333.