How should you evaluate an asymptomatic patient with a femoral or iliac artery bruit?
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Perform an ankle-arm index (AAI, or ankle- brachial index) test to evaluate for peripheral artery disease (PAD) (strength of recommendation [SOR]: B, cohort studies). If the test detects PAD, recommend steps to modify cardiovascular risk factors (SOR: B, extrapolation from randomized clinical trials [RCTs]).
Journal of Family Practice, 58(4) 2009: 217+.