The sinus node depolarises normally but there is an intermittent failure of conduction of the impulse to the atrial myocardium (exit block) with failure of atrial depolarization

Source
- Simon Carley, “Case B3. Sino Atrial Block. St Emlyn’s ECG Library,” in St.Emlyn’s, October 28, 2018, https://www.stemlynsblog.org/ecg-library-st-emlyns/case-b2-sino-atrial-block-st-emlyns-ecg-library/.