Lancisi's Sign
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Lancisi's Sign
Lancisi's sign is a medical sign, clinical sign in which a large venous wave, or ''Giant V wave'', is visible in the jugular vein in patients with tricuspid regurgitation. It is caused by blood flowing backwards into the jugular vein through the incompetent tricuspid valve during Systole (medicine), ventricular systole. The sign is named after Giovanni Maria Lancisi.Giovanni Maria Lancisi
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See also

* Jugular venous pressure


References

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Medical Sign
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indicati ...
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Jugular Vein
The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava. The internal jugular vein descends next to the internal carotid artery and continues posteriorly to the sternocleidomastoid muscle. Structure and Function There are two sets of jugular veins: external and internal. The left and right external jugular veins drain into the subclavian veins. The internal jugular veins join with the subclavian veins more medially to form the brachiocephalic veins. Finally, the left and right brachiocephalic veins join to form the superior vena cava, which delivers deoxygenated blood to the right atrium of the heart. The Jugular veins help carry blood from the heart to and from the brain. An average human brain weighs about 3 pounds, and gets about 15%-20% of the blood that the heart pumps out. It is important for the brain to get enough blood for many reasons. The jugu ...
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Tricuspid Regurgitation
Tricuspid regurgitation (TR), also called tricuspid insufficiency, is a type of valvular heart disease in which the tricuspid valve of the heart, located between the right atrium and right ventricle, does not close completely when the right ventricle contracts (systole). TR allows the blood to flow backwards from the right ventricle to the right atrium, which increases the volume and pressure of the blood both in the right atrium and the right ventricle, which may increase central venous volume and pressure if the backward flow is sufficiently severe. The causes of TR are divided into ''hereditary'' and ''acquired''; and also ''primary'' and ''secondary''. Primary TR refers to a defect solely in the tricuspid valve, such as infective endocarditis; secondary TR refers to a defect in the valve as a consequence of some other pathology, such as left ventricular failure or pulmonary hypertension. The mechanism of TR is either a dilatation of the base (annulus) of the valve due to righ ...
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Tricuspid Valve
The tricuspid valve, or right atrioventricular valve, is on the right dorsal side of the mammalian heart, at the superior portion of the right ventricle. The function of the valve is to allow blood to flow from the right atrium to the right ventricle during diastole, and to close to prevent backflow ( regurgitation) from the right ventricle into the right atrium during right ventricular contraction ( systole). Structure The tricuspid valve usually has three cusps or leaflets, named the anterior, posterior, and septal cusps. Each leaflet is connected via chordae tendineae to the anterior, posterior, and septal papillary muscles of the right ventricle, respectively. Tricuspid valves may also occur with two or four leaflets; the number may change over a lifetime. Function The tricuspid valve functions as a one-way valve that closes during ventricular systole to prevent regurgitation of blood from the right ventricle back into the right atrium. It opens during ventricular diastol ...
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Systole (medicine)
Systole ( ) is the part of the cardiac cycle during which some chambers of the heart contract after refilling with blood. The term originates, via New Latin, from Ancient Greek (''sustolē''), from (''sustéllein'' 'to contract'; from ''sun'' 'together' + ''stéllein'' 'to send'), and is similar to the use of the English term ''to squeeze''. The mammalian heart has four chambers: the left atrium above the left ventricle (lighter pink, see graphic), which two are connected through the mitral (or bicuspid) valve; and the right atrium above the right ventricle (lighter blue), connected through the tricuspid valve. The atria are the receiving blood chambers for the circulation of blood and the ventricles are the discharging chambers. In late ventricular diastole, the atrial chambers contract and send blood to the larger, lower ventricle chambers. This flow fills the ventricles with blood, and the resulting pressure closes the valves to the atria. The ventricles now perform i ...
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Giovanni Maria Lancisi
Giovanni Maria Lancisi (26 October 1654 – 20 January 1720) was an Italian physician, epidemiologist and anatomist who made a correlation between the presence of mosquitoes and the prevalence of malaria. He was also known for his studies about cardiovascular diseases, an examination of the corpus callosum of the brain, and is remembered in the eponymous Lancisi's sign. He also studied rinderpest during an outbreak of the disease in Europe. Biography Giovanni Maria Lancisi (Latin name: Johannes Maria Lancisius) was born in Rome. His mother died shortly after his birth and he was raised by his aunt in Orvieto. He was educated at the Collegio Romano and the University of Rome, where he qualified in medicine aged 18. He worked at Santo Spirito and trained at the Picentine College, Lauro. In 1684 he went to Sapienza University and held the chair of anatomy for thirteen years. He served as physician to Popes Innocent XI, Clement XI and Innocent XII. He was given the lost anatomic ...
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TheFreeDictionary
''The Free Dictionary'' is an American online dictionary and online encyclopedia, encyclopedia that search aggregator, aggregates information from various sources. Content The site cross-references the contents of ''The American Heritage Dictionary of the English Language'', the ''Collins English Dictionary'', the ''Columbia Encyclopedia'', the ''Computer Desktop Encyclopedia'', the ''Hutchinson Encyclopedia'' (subscription), and Wikipedia, as well as the Acronym Finder database, several financial dictionaries, law dictionary, legal dictionaries, and other content. It has a feature that allows a user to preview an article while positioning the mouse cursor (user interface), cursor over a link. One can also double-click on any word to look it up in the dictionary. Site operator The site is run by Farlex, Inc., located in Huntingdon Valley, Pennsylvania, Huntingdon Valley, Pennsylvania. Farlex also maintains a companion title, ''The Free Library'', an online library of out-of-c ...
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Jugular Venous Pressure
The jugular venous pressure (JVP, sometimes referred to as ''jugular venous pulse'') is the indirectly observed pressure over the venous system via visualization of the internal jugular vein. It can be useful in the differentiation of different forms of heart and lung disease. Classically three upward deflections and two downward deflections have been described. * The upward deflections are the "a" (atrial contraction), "c" (ventricular contraction and resulting bulging of tricuspid into the right atrium during isovolumetric systole) and "v" (venous filling). * The downward deflections of the wave are the "x" descent (the atrium relaxes and the tricuspid valve moves downward) and the "y" descent (filling of ventricle after tricuspid opening). Method Visualization The patient is positioned at a 45° incline, and the filling level of the external jugular vein determined. The internal jugular vein is visualised when looking for the pulsation. In healthy people, the filling level of ...
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Medical Signs
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indicatio ...
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