How should you evaluate an asymptomatic patient with a femoral or iliac artery bruit?

Abstract

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]).