The rhythm in the first
strip is paced atrial rhythm that is irregular. In this case the
PR interval is increasing like that seen in Mobitz
I A/V block. In this case though, there is no A/V block, but
as the PR prolongs it eventually extends past the atrial refractory
period of the pacemaker (400ms) and the QRS is sensed by the pacer
and hence inhibits the pacemaker. The pacemaker is working well.
The second strip shows
a regular rhythm where the PR interval is short enough so that
the QRS stays within the atrial refractory period and does not
inhibit the pacemaker.