Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis characterized by atherosclerotic occlusive disease of the lower extremities and is a marker for atherothrombotic disease in other vascular beds. The interest in these disease in recent years is due to the high prognostic importance for predicting arteriosclerotic in other arterial territories. Detection of such condition can be used to improve the prediction of the current cardiovascular risk functions.(1 ) This is a retrospective study of patient diagnosed with peripheral arterial disease at Philippine Heart Center from 2008 to 2010, Data was obtained by chart review, all important data were gathered and arialysed. There were 81 patient included in the study, demographic profile, symptomatology, physical examination findings, laboratory examination results such as ABI and Arterial duplex scan, mode of management and outcome of the patient were evaluated. On this study we found out that hypertension followed by diabetes and smoking is the predominant risk factor that contributed for the development of PAD, the most common symptoms documented are, discoloration of extremities, leg pain and claudication. Majority of patient symptoms involved the lower extremities and there were few patient who manifested sensory and motor deficit. Majority of the patient responded on medical management and 25% underwent revascularization. Six mortality were documented and the cause of death of these patient were secondary to sepsis.