![]() If P waves are absent and there is an irregular rhythm, it may suggest a diagnosis of atrial fibrillation. If P waves are absent, is there any atrial activity? Do the P waves look normal? – check duration, direction and shapeĤ. If so, is each P wave followed by a QRS complex?ģ. The next step is to look at the P waves and answer the following questions:Ģ. Left axis deviation is associated with heart conduction abnormalities.Lead I has the most positive deflection. ![]() Typical ECG findings for left axis deviation: ![]() Right Axis Deviation (RAD) Left axis deviation
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