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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.
Ankleâbrachial pressure index. The ankle-brachial pressure index (ABPI) or ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg is an indication of blocked arteries due to peripheral artery disease (PAD).