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An ankle-brachial index (ABI) test is one of the most common tests used to diagnose peripheral vascular disease (PVD). An ABI test compares the blood pressure in your ankle and your arm. Hereâs what happens during an ABI test: 1  Getting ready. Youâll change into a gown and lie down on an exam table.  Blood pressure cuffs.
Some people also do an exercise test. In this case, the blood pressure measurements are repeated at both sites after a few minutes of walking on a treadmill. The ankle-brachial index (ABI) result is used to predict the severity of peripheral arterial disease (PAD). A slight drop in your ABI with exercise means that you