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ABNORMALITIES OF U WAVE
Made By:- Muskan Kapoor
NORMAL U WAVE
● It is produced by slow and late repolarization of the IV purkinje
system.
● It is an upright deflection.
● It is much smaller than T wave.
● It is difficult to notice U wave but seen in V2 to V4 leads in Ecg.
● It is easy visible when QT interval is short.
PROMINENT U WAVE
● A U wave is exaggerated and approximates the size of the T wave is
considered to be prominent U wave.
● Causes :- Hypokalemia
- Congenital long QT syndrome
- Hypocalcemia
HYPOKALEMIA
● In this Prominent U wave
that follows a low T wave
produces “camel hump
effect”.
INVERTED U WAVE
● Causes :- ischemic heart disease
- LV diastolic overload
● When inversion is due to myocardial
ischemia this is usually associated with
changes in ST segment and T wave.
CONGENITAL LONG QT SYNDROME

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ECG Abnormalities: Prominent and Inverted U Waves

  • 1. ABNORMALITIES OF U WAVE Made By:- Muskan Kapoor
  • 2. NORMAL U WAVE ● It is produced by slow and late repolarization of the IV purkinje system. ● It is an upright deflection. ● It is much smaller than T wave. ● It is difficult to notice U wave but seen in V2 to V4 leads in Ecg. ● It is easy visible when QT interval is short.
  • 3. PROMINENT U WAVE ● A U wave is exaggerated and approximates the size of the T wave is considered to be prominent U wave. ● Causes :- Hypokalemia - Congenital long QT syndrome - Hypocalcemia
  • 4. HYPOKALEMIA ● In this Prominent U wave that follows a low T wave produces “camel hump effect”.
  • 5. INVERTED U WAVE ● Causes :- ischemic heart disease - LV diastolic overload ● When inversion is due to myocardial ischemia this is usually associated with changes in ST segment and T wave.