It is a small deflection that comes after the T wave

U Wave

It is a small deflection that comes after the T wave of ventricular repolarization and may not always be observed as a result of its small size.

‘U’ waves are thought to represent repolarization of the Purkinje fibers. However, the exact source of the U wave remains unclear.

1-2mm in size

It is generally upright except in the aVR lead and is often most prominent in leads V2 to V4.

Seen more prominent in patient with bradycardia