Initial evaluation for PAD begins with an exam by your primary care doctor. Your primary care doctor will check to see if you have elevated blood pressures, called hypertension, and can also check for diabetes and high cholesterol. High blood pressure, diabetes and high cholesterol are three of the major risk factors for PAD. Smoking is another major risk factor for PAD and you should tell your doctor if you are or ever have been a smoker. Your doctor may check the pulses in your groins and feet and listen to the major arteries in your neck with a stethoscope as part of your physical exam. If PAD is suspected your doctor may order a vascular ultrasound examination of the blood vessels in the legs and a test called an ankle brachial index (ABI) which compares blood flow between the arms and legs. If abnormalities are detected on the vascular ultrasound or ABI, additional testing with CT angiography (CTA), MR angiography (MRA) or an arteriogram can provide a more detailed evaluation of PAD.


