The ankle-brachial pressure index is a simple noninvasive way to detect peripheral arterial disease. The systolic pressures at the arm and ankle are compared to estimate the degree of narrowing of the vessels supplying the lower limb. Normal ABPI is about 1. An ABPI of above 1.4 suggests excess vascular calcification while values below 1 indicate peripheral arterial disease. If the ABPI has gone below 0.4, this is referred to as critical limb ischemia and in this case, the limb is at risk of developing ischemia and necrosis. https://www.santancv.com/services/diagnostic-testing/ankle-brachial-index-test/