Seems like some have already hit this on the head... Why is the pressure low=osmotic shift, rate / contraction increase ( chrono/ino) will capitate the pump ( can't force through or oncrease thtough rate volume that's not present) marked increased HR (chrono )in septic shock accelerates...
Looks like a accelerated junctional escape... The deep narrow Qwave says either this is septal hypertrophy / cardiomyopathy or a sudden onset non STEMI M.I, there is a demand pacer involved on this rhythm as well... Without assessing the pt myself its tough to be more direct... Only other...