Note that the first three account for almost 90% of ECG tracings with LAD. If the QRS is predominantly negative in lead I and positive in lead aVF, then the axis is rightward (right axis deviation).
See the ECG basics section on determining axis for details. If the QRS is upright in lead I and downward (negative) in lead aVF, then the axis is between 0 and -90 degrees, likely left axis deviation.
A 76-year-old woman presents with a persistently rapid heart rate that she attributes to her pacemaker. What does the ECG show?
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