T-U waves have two peaks from a T wave and a U wave that are fused together. This is also known as a Camel hump T wave. A similar appearance can be seen with hidden P waves that occur during a T wave.
See also: T and U waves
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This ECG is from a young woman who presented with status epilepticus seizures and an apparent overdose of bupropion, with possible cocaine ingestion. She was intubated and given propofol and benzodiazepines, which terminated the seizures, and then a PEA arrest was terminated with epinephrine and bicarbonate. This was the repeat ECG on day 3.