Population: Adults without diagnosis or symptoms of peripheral artery disease.
Organizations
USPSTF 2018, AHA/ACC 2017
Screening Recommendations
–Do not screen the general low-risk population with Ankle-Brachial Index (ABI)
Practice Pearls
• Patients at increased risk of PAD:
- Age ≥ 65 y.
- Age 50–64 y, with atherosclerotic risk factors or family history of PAD.
- Age < 50 y with diabetes mellitus and 1 additional atherosclerotic risk factor.
- Known atherosclerotic disease in another vascular bed.
• Suggestive history and physical examination findings: Claudication, non-joint-related exertional lower extremity symptoms, impaired walking function, ischemic rest pain, abnormal lower extremity pulses, vascular bruit, nonhealing lower extremity wound, lower extremity gangrene, elevation pallor, dependent rubor.
Sources
–JAMA. 2018;320(2):177-183.
–AHA/ACC. Circulation. 2017;135(12):e686-e725.