Movement Artefact
Report:
Sinus rhythm
Movement artefact
Comment:
Once looked for, sinus P waves are easily discerned in front of most beats; the rest cannot, therefore, be genuine atrial activity. The regular normal rate is a clue that the rhythm is not AF, which would require additional diagnoses of complete AV block (or block-acceleration of Marriott’s), with junctional rhythm.
The strip shown below (Fig 115a) on this page would be, in all fairness, beyond interpretation.
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