P wave twisting : An extreme form of wandering pacemaker .

Wandering pacemaker is benign  cardiac arrhythmia . The only danger  is , it can create false alarm .This patient was referred   as  AV dissociation Read a related article  from this site .  ( A restless pacemaker goes for a walk down the  lane )
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Cardiology-Arrhythmias changing p wave axis coronary sinus rhythm p wave twist wandering pacemaker Source Type: blogs