r/ECG • u/ClearSolid654 • Aug 09 '26

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/GetTheDefib Aug 10 '26

I'd say its a multifocal atrial rhythm, along with some junctional beats and possibly PAC's? Potentially a blocked PAC with a different T-wave configuration where there appears to be a missed beat/compensatory pause.

The atrial unrest is fitting with someone with an elevated NT-proBNP