Comment on the diagnosis of the patient based on ECG

HR of patient is variable. Notice the change in RR interval in lead II. The HR changes from 200 bpm to 150 bpm. Notice the changes in amplitude of P waves which leads to diagnosis as Multifocal atrial tachycardia(MAT). Choice 2 is ruled out as A. fibrillation has an absent P waves Choice 3 is ruled out as Mobitz II hea block has bradycardia Choice 4 is ruled out as Wolf Parkinson white syndrome has Delta waves with broad qRS complex is not seen