normal axis deviation
I and II are positive
Between -30 and +90
Left axis deviation
Lead I is positive, and lead II is negative.
Commonly caused by left ventricular hypertrophy or inferior wall myocardial infarction.
Right axis deviation
Lead I is negative, and lead II is positive.
Seen in conditions like right ventricular hypertrophy, pulmonary hypertension, or a pulmonary embolism.