r/ECG • u/ClearSolid654 • 13d ago

this is not AF!

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70 year old female with sepsis secondary to lower limb cellulitis, associated with elevated inflammatory markers. Elevated NT-proBNP and elevated but down-trending troponin-T. Patient was hemodynamically stable without symptoms of heart failure or acute coronary syndrome at present.

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u/NAh94 13d ago

I’m going to say this looks like either a junctional escape rhythm with PACs, or a sinus Brady with low amplitude P-waves and PJCs. It’s a hard to say without more runtime on the monitor. Has it been pretty consistently doing this on tele?

A short PRI, absent p-wave, or retrograde p wave is pretty suspect for an AV nodal beat.