Rhythm Interpretation: electrocardiographic polyuria (too much P...waves) and how to successfully break down complicated rhythms

HPI

A 54-year-old man presents to the emergency department reporting that his heart feels like it is skipping beats. He is noted to be bradycardic on arrival. The following ECG is obtained:

Presenting ECG — Rhythm Interpretation: electrocardiographic polyuria (too much P...waves) and how to successfully break down complicated rhythms

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