Usually, tornadoes in the U.S. rotate counterclockwise. Coriolis force, imparted due to the Earth’s rotation, causes air around low centers to circulate counterclockwise in the northern hemisphere.

The diagnosis is NSR, Mobitz type I second-degree atrioventricular (AV) block (Wenckebach), nonconducted (blocked) PACs, and early transition (counterclockwise rotation). The rhythm is irregular, but ...