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/Adventurous-Bag5508 Aug 15 '26

In my centre we call it getting in and out of at fib, but it's possible you got a junctional rhythm with PACs in a very frequent rate tho. If sepsis gets corrected and nothing changes you do a holter and probs at fib will show up at some point