#main_causes_of_inverted_U_waves are:

*Coronary artery disease

*Hypertension

*Valvular HD

*Congenital heart diseases

*Cardiomyopathy

*Hyperthyroidism

Features of Normal U waves

The U wave normally goes in the same direction as the T wave

The voltage of the U wave is normally < 25% of the T wave$XRP

$BTC

if >1-2mm or 25% of the height of the T wave.( prominent U wave but upright)

The most common cause of prominent U waves is

*bradycardia,

* severe hypokalaemia.