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The classic irregulary irregular gives the distinct indication of Afib. There appears to be numerous occasions of either absent, weak, missing or random (another words, could be, but then maybe not) "P" waves present in all 3 leads. But I would go with Afib.

Just curious but why an avf lead as opposed to a standard lead I? If you march out the rhythm from beginning to end, the first 3 complexes are not regular either.

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