You are incorrect - the best interpretation of the rhythm strip in our patient is atrial fibrillation.

Your choice: Sinus arrhythmia
This rhythm strip shows sinus arrhythmia. The characteristic features demonstrated here include identical P waves preceding each QRS, but with cyclic variation in the rate, wherein it increases during inspiration and decreases during expiration. The PR intervals are normal and constant and the QRS complexes are identical. This is a common normal finding, especially in younger patients.