- Male
- 47 Years
- 20/02/2025
I need some advice on my mom's ECG report. It says she's got a sinus rhythm and something called enlarged PtfV1. What does that mean? Should we be concerned about it?
Answered by 1 Apollo Doctors
The ECG report showing sinus rhythm and a large P wave in lead V1 indicates a possible right atrial enlargement. This could be due to various reasons such as pulmonary hypertension, tricuspid valve disease, or chronic lung disease. It is important to correlate this finding with your mother's clinical symptoms and history. There is no need to worry, but it would be advisable to consult a cardiologist for a detailed evaluation and further management. In the meantime, your mother may benefit from medications like Furosemide to reduce fluid retention and workload on the heart, as well as medications like Digoxin to help regulate the heart rate.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Sinus Rhythm: This indicates a normal heart rhythm, meaning the heart is beating in a regular pattern. It is generally a positive finding on an ECG.
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Enlarged PtfV1: This refers to a specific wave pattern on the ECG that can suggest changes in the heart's atrium. It doesn't automatically indicate a serious condition but should be evaluated by a doctor.
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Next Steps: a. Discuss the ECG findings with your mom's healthcare provider. b. Share any symptoms your mom may have to guide further care.
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Reassurance: Many ECG findings are benign or manageable. Trust your mom's doctor to interpret the results in the context of her overall health.
Answered 10/09/2025
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.


