Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation If you went to med school before I did, you can dx the rhythm and name the lesion :) One clue: Pt has a PM. Everyone sees the obscenely huge waves. But is it giant A or V wave? While it’d be nice to have ur finger on the pts carotid pulse to be sure, can you see the carotid pulse in the clip ? This is indeed Lancisi's sign. Pt has permanent AF, severe TR, and a PM. The irregularity of HB is c/w AF, with occasional regularization due to VVI pacing. James Ong, MD @JamesOngMD #Lancisis #Sign #Tricuspid #Regurgitation #Atrial #Fibrillation #Neck #JVP #Clinical #Video #AFib #PhysicalExam #Cardiology
