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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.
Patient care. The index is obtained by measuring the systolic blood pressure in the upper and lower extremities after the patient has been lying on his or her back for about 5 min and then repeating the measurements after the patient walks for 5 min. There are several ways to obtain an ABI.