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Two strange waves that are commonly asked in USMLE exams.

The Delta Wave: Seen Wolf Parkinson White Syndrome which is essentially a slow upstroke of the QRS complex.

The Osbourn Wave: Seen in hypothermia which is an upward deflection between the QRS and the ST segment looking like an ST elevation MI.

Here are two ECG strip delineating the two waves: (click on thumbnails to enlarge)

Rectangle Slope Font Line Parallel

Attribution: Wikimedia Commons

Rectangle Font Pattern Parallel Slope

Attribution: Wikimedia Commons
 
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