You are incorrect - the best interpretation of the rhythm strip in our patient is type I second degree A-V block.

Your choice: Sinus rhythm with blocked premature atrial complexes
This rhythm strip shows sinus rhythm with blocked premature atrial complexes. The characteristic feature demonstrated here include premature P waves which may have a different morphology from the sinus P waves and are not followed by a QRS complex. The PR interval of the sinus beats remains constant. The early atrial complex reaches the A-V junction before repolarization has been completed and is not conducted.