Objectives: The basic aim of this study was to find the expression of PAD in a group of Rheumatoid arthritis participants but with no record of any cardiovascular diseases.

Methods: On Ninety subjects with no record of considerable CVD but with RA a prospective observational non-experimental studywas performed. Doppler spectral waveform analysis and Ankle Brachial Pressure Index for vascular judgment was performed.

Place and Duration: In the Medicine Department of Aziz Fatima Medical and Dental College Faisalabad for one-year duration from April 2020 to April 2021.

Results: In this study total 90 of participants were selected out of which 18 were males and 72 were females. The mean age for this study and time period of RA was 62 ±9.01 and 11.8±11.2 years respectively. It was noticed that seventy five percent of the subjects had triphasic waveforms in the Right foot while sixty percent had in the Left foot when examined the posterior tibial or PT artery. In sixty-eight percent of the total participants triphasic waveforms of the Dorsalis Pedis Arteries were found. Biphasic right was present in thirty percent subjects while biphasic left was present in thirty five percent subjects. Biphasic Dorsalis Pedis was found in forty percent participants of both feet. Only one subject was found with discontinuous monophasic PT of both feet.

Conclusions: Results show that ABPI index was discovered normal in majority of patients but waveform analysis was found suboptimal or biphasic in total of one-third of the participants. These results indicatethat to find patients with early PAD the judgment of peripheral arterial perfusion should use both modes.

Keywords: Rheumatoid arthritis, ankle brachial pressure value, CVD risks hazards, screening.