Kingfisher

I,ll have to ask for my money back from med school. I still say there are dissociated P waves at a tachy rate, through out most of the strip. The ventricles are probably being controlled at the junctional level, the initial part of the strip over 150, which should have been called a junctional tach and not an accellerated rhythm (my bad). I would have liked to see more of the rhythm strip to see if it stayed slow.

I'll take a stab. Looks like the begining of the strip is an accellerated third degree that degenerates to a slower rate. There are P waves that march out through most of the strip but there is no connection to the complexs. Think there is some buried P's under some of those complexes. The complexes are borderline wide. That's my two cents