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ames might ask why does the ecg evaluation process take so long many common ecg findings are normal variants and are not cause for deferment unless the pilot is symptomatic or there are other concerns how do you identify ecg normal variants lets look at a few examples any first degree av block with a pr interval less than 0.30 seconds is a normal variant an indeterminate axis is a normal variant and does not require a workup low voltage in the limb leads is a normal variant a short qt interval is also a normal variant for the complete list of ecg normal variants please consult the ame guide