The U wave and the ECG: Don’t miss this

Subscribe to Resus

Get the latest updates on our Conferences PLUS our Webcasts and Education Newsletters. And it's FREE!

  • We respect your privacy
  • This field is for validation purposes and should be left unchanged.

Register Now:

Sorry, we couldn't find any posts. Please try a different search.

The U wave is an often ignored deflection on the ECG. It is usually < 1mm, upright and has the same polarity(is in the same direction) as the preceding T wave(1). It is usually seen in the anterior leads V2-V3. It may be present in normal individuals and is sometimes ignored…… beware. Here is a quick look at the U wave. I have a new found respect for it.

It was first described by Einthoven in 1903, yet today we still debate the potential mechanisms that cause it. Amongst those are(2):

  1. Delayed depolarisation of the His-Purkinje System
  2. Prolonged depolarisation of mid-myocardial cells(M-cells)
  3. After potentials due to ventricular stretch

The are two things to look for in a U wave:

  1. It’s polarity(is it up or down?)
  2. Its size ( how tall is it?)

Polarity of the U wave

The U wave is usually upright and in the same direction as the preceding T wave. A negative U wave is not often seen, but when present, is very specific for heart disease. When present at rest, it may be an early indication of unstable angina or myocardial infarction(3) and may indicate left anterior descending artery disease.

When U waves appear during exertion, they may indicate left circumflex or right coronary artery disease with abundant collaterals(4).

Other causes of inverted U waves include:

  • Hypertension
  • Congenital Long QT syndrome
    • In this case the U wave doesn’t occur after the T wave, but is superimposed on the T wave, interrupting it.
  • Left Ventricular enlargement
  • Valvular Heart disease(aortic or mitral)

Pre and Post Stent

 

In this case(5), a 50 year old male, chronic smoker, non hypertensive and non diabetic presented with unstable angina. The ECG showed very prominent U waves, but little else.

The coronary angiogram showed a 90% stenosis of the mid left anterior descending artery, which was stented. The U waves resolved post procedure.


The Size of the U wave

The size of the U wave varies inversely with the heart rate, ie., the slower the rate the more prominent the U wave. We therefore expect it to be more prominent in bradycardia. It is usually < 1mm in height and <25% the height of the T wave.
A prominent U wave may be associated with sudden cardiac death(6).

Other causes of a prominent U wave include:

  • Hypokalaemia
  • Medications
    • Class I antiarrhythmics: quinidine, procainamide
    • Class III antiarrhythmics: sotalol, amiodarone
  • Raised Intracranial pressure

References

  1. Ariyarajah V et al. Can U waves be “notched”? Ann Noninvasive Electrocardiology. 2008;13(4);426-8
  2. Correate E et al. The negative U wave: a pathogenic enigma but a useful, often overlooked bedside diagnostic and prognostic clue in ischaemic heart disease. Clin Cardiol 2004;27:674-7.
  3. Fisch C. The clinical electrocardiogram:sensitivity and specificity. ACC Core J Rev. 1997;6:71-5
  4. Miwa K et al. Exercise induced U wave alteration as a marker of well-developed and well functioning collateral vessels in patients with effort angina. J Am Coll Cardiol 2000;35:757-63
  5. Girish MP et al. U wave: An Important Noninvasive Electrocardiographic Diagnostic marker. Ind Pacing and Electrophysiology J 2005;5(1):63-65.
  6. Was J W et al. Increased U vector magnitude is associated with increased risk of sudden cardiac death- The Atherosclerosis Risk in Communities Study. Circulation 2016;143:A13090

By Peter Kas

Dr Peter Kas

Emergency Physician, Educator. Key Interests: Resuscitation, Airway, Emergency Cardiology, Clinical Examination. Creator resus.com.au.

151 Comments

  1. yokjbkdydn on 02/09/2021 at 9:22 pm

    The U wave and the ECG: Don’t miss this – Resus
    [url=http://www.g0r619sr7yh7ow5x50fdu843ii2732pcs.org/]uyokjbkdydn[/url]
    ayokjbkdydn
    yokjbkdydn http://www.g0r619sr7yh7ow5x50fdu843ii2732pcs.org/

  2. Marguerite on 14/09/2021 at 12:29 pm

    Very good blog you have here but I was curious if
    you knew of any user discussion forums that cover the same topics talked about in this article?
    I’d really love to be a part of group where I
    can get suggestions from other experienced individuals that share the same interest.

    If you have any suggestions, please let me know.
    Thank you!

  3. Brigitte on 14/09/2021 at 12:30 pm

    This is my first time visit at here and i am in fact impressed to read
    all at one place.

  4. Rubin on 14/09/2021 at 12:39 pm

    I pay a quick visit everyday a few web sites and websites to read
    articles, however this webpage gives feature based articles.

  5. Joesph on 14/09/2021 at 12:55 pm

    Its like you read my mind! You appear to know so
    much about this, like you wrote the book in it or something.
    I think that you could do with a few pics to drive the message home a bit, but other
    than that, this is great blog. An excellent read. I will
    definitely be back.

  6. Larhonda on 14/09/2021 at 1:05 pm

    Great delivery. Sound arguments. Keep up the good work.

  7. Winona on 14/09/2021 at 1:09 pm

    Heya i’m for the first time here. I came across this board and
    I find It really helpful & it helped me out a lot.

    I am hoping to provide one thing back and aid others like you
    helped me.

  8. Jacquie on 14/09/2021 at 1:39 pm

    My brother recommended I might like this website. He was totally right.
    This post actually made my day. You can not imagine simply how much time I had spent for this info!
    Thanks!

  9. Pamela on 14/09/2021 at 1:44 pm

    I do not even know how I ended up here, but I thought this post was great.
    I don’t know who you are but definitely you’re going to a famous blogger if you are not already 😉 Cheers!

  10. Minda on 14/09/2021 at 3:22 pm

    You actually make it seem so easy together with your presentation however I find this matter to be really something that
    I believe I might never understand. It sort of feels too complex and very broad for me.
    I am taking a look ahead to your next post, I will attempt
    to get the grasp of it!

  11. Wilbur on 14/09/2021 at 3:54 pm

    Just want to say your article is as astounding. The clearness in your post is simply cool and
    i could assume you’re an expert on this subject.
    Fine with your permission allow me to grab your feed to keep up to date with forthcoming post.

    Thanks a million and please keep up the
    enjoyable work.

  12. Kira on 14/09/2021 at 3:57 pm

    If you are going for finest contents like I do, simply visit this website everyday because it presents quality contents, thanks

  13. Leonel on 14/09/2021 at 4:04 pm

    I will right away grab your rss as I can not
    to find your e-mail subscription link or e-newsletter service.
    Do you have any? Please let me know in order that I may just subscribe.

    Thanks.

  14. Coy on 14/09/2021 at 4:59 pm

    Hello there, just became aware of your blog through Google, and found that it is really informative.
    I am gonna watch out for brussels. I’ll be grateful if you continue this in future.
    Numerous people will be benefited from your
    writing. Cheers!

  15. Emmett on 14/09/2021 at 5:24 pm

    Thank you, I have just been searching for information approximately this subject
    for a while and yours is the greatest I have found out till now.
    However, what about the conclusion? Are you certain about the supply?

  16. Trisha on 14/09/2021 at 5:55 pm

    Ahaa, its good discussion about this article here at this website, I have
    read all that, so now me also commenting here.

  17. 건마 on 14/09/2021 at 5:57 pm

    First off I would like to say wonderful blog! I had a quick question which I’d like to ask
    if you don’t mind. I was curious to know how you center yourself and clear your mind prior to writing.
    I’ve had difficulty clearing my thoughts in getting my ideas
    out. I do take pleasure in writing however it just seems like the
    first 10 to 15 minutes are generally lost simply just trying to figure out how to begin.
    Any recommendations or hints? Thanks!

  18. Jens on 14/09/2021 at 6:17 pm

    I really like your blog.. very nice colors
    & theme. Did you design this website yourself or did you hire someone to
    do it for you? Plz respond as I’m looking to create my own blog and would
    like to know where u got this from. many thanks

  19. 홈타이 on 14/09/2021 at 6:33 pm

    My family all the time say that I am killing my time here at
    web, but I know I am getting know-how every day by reading thes pleasant content.

  20. kunjungi website kami on 14/09/2021 at 6:37 pm

    Yesterdаy, while I waas at work, my sister stole my iphone and
    tested to see if it can survive a thirty foot drop, just so
    sshe can be a youtube sensation. Ⅿy apple ipad is now broken and she has 83 views.

    I know tһiis is completely off topic but I had tο shaгe iit with someone!

  21. 웹하드순위 on 14/09/2021 at 6:38 pm

    Good day! I know this is kind of off topic but I was wondering if you knew where I could get a captcha plugin for my comment
    form? I’m using the same blog platform as yours and I’m having trouble finding one?

    Thanks a lot!

  22. Mckinley on 14/09/2021 at 6:58 pm

    It’s very easy to find out any topic on net as compared to textbooks,
    as I found this piece of writing at this site.

  23. Harriett on 14/09/2021 at 7:04 pm

    Aw, this was an extremely nice post. Taking the time and actual effort to generate a superb article…
    but what can I say… I put things off a lot
    and never seem to get nearly anything done.

  24. Darin on 14/09/2021 at 7:42 pm

    Hello, I desire to subscribe for this website to get newest updates, so where can i do it please help.

  25. Novella on 14/09/2021 at 7:49 pm

    I know this web page gives quality based articles and extra information, is
    there any other website which gives these kinds of stuff in quality?

  26. 먹튀검증 on 14/09/2021 at 8:14 pm

    Great article.

  27. Tommy on 14/09/2021 at 8:32 pm

    I am really impressed together with your writing talents as smartly as with the structure on your weblog.

    Is that this a paid subject or did you customize it yourself?
    Anyway keep up the excellent high quality writing, it’s uncommon to
    peer a great weblog like this one these days..

  28. Marcus on 14/09/2021 at 9:17 pm

    Unquestionably believe that which you said. Your favorite reason appeared to
    be on the internet the easiest thing to be aware of. I say to
    you, I definitely get irked while people consider worries that they plainly do not know about.
    You managed to hit the nail upon the top as well as defined out the whole thing without having side effect , people could take
    a signal. Will likely be back to get more. Thanks

  29. Bebe on 14/09/2021 at 9:21 pm

    Whats up very cool website!! Man .. Beautiful ..
    Wonderful .. I’ll bookmark your blog and take the feeds also?
    I’m satisfied to seek out so many helpful information right here within the
    submit, we need develop extra strategies on this regard, thanks for sharing.
    . . . . .

  30. 먹튀재판소 on 14/09/2021 at 9:25 pm

    Hey there! Do you know if they make any plugins to assist with Search Engine Optimization? I’m trying
    to get my blog to rank for some targeted keywords but I’m not seeing very good success.

    If you know of any please share. Appreciate it!

  31. 웹하드순위 on 14/09/2021 at 9:37 pm

    After I originally commented I appear to have clicked the -Notify me when new comments
    are added- checkbox and from now on each time a comment is added I receive four emails with the same comment.

    There has to be a way you can remove me from that service?

    Cheers!

  32. Tarah on 14/09/2021 at 10:12 pm

    Hurrah! After all I got a weblog from where I can actually obtain valuable information regarding my study and knowledge.

  33. carmendeburgos.org on 15/09/2021 at 12:21 pm

    Hello! This is my 1st comment here so I just wanted to give a quick shout out and say I truly enjoy reading
    through your articles. Can you recommend any other blogs/websites/forums that cover the same subjects?
    Thanks a ton!

  34. https://www.garyjodhalaw.com/ on 15/09/2021 at 1:49 pm

    Fine way of describing, and good piece of writing
    to get information about my presentation topic,
    which i am going to deliver in academy.

  35. onlyballingame.com on 15/09/2021 at 2:53 pm

    I always used to study paragraph in news papers but now as I am a user of internet so from
    now I am using net for content, thanks to web.

  36. apples-in-space.com on 15/09/2021 at 3:40 pm

    My partner and I stumbled over here coming from a
    different website and thought I may as well check things out.
    I like what I see so now i am following you. Look forward
    to checking out your web page repeatedly.

  37. https://mccabesbistroandpub.com on 15/09/2021 at 4:51 pm

    Excellent post. I was checking constantly this blog and I’m impressed!
    Extremely helpful information specifically the
    last part 🙂 I care for such information a lot.
    I was seeking this certain info for a very long time.
    Thank you and good luck.

  38. https://www.thaimgreen.com/ on 15/09/2021 at 5:08 pm

    For most recent information you have to pay a visit world wide web and on world-wide-web I found this web page as a finest site for hottest
    updates.

  39. https://rrmginc.com/ on 15/09/2021 at 5:16 pm

    Ahaa, its good conversation concerning this piece of
    writing here at this webpage, I have read all that, so now me also commenting here.

  40. Melina on 15/09/2021 at 6:49 pm

    obviously like your web-site but you need to take a look at the spelling on several of your posts.
    A number of them are rife with spelling issues and
    I find it very troublesome to tell the truth on the other hand I will
    definitely come again again.

  41. https://www.subcityprojects.com/ on 15/09/2021 at 7:23 pm

    Greetings! This is my first visit to your blog! We are a group of
    volunteers and starting a new initiative in a community in the same niche.

    Your blog provided us useful information to work on. You have done a marvellous job!

  42. https://www.tiniguena.org/ on 15/09/2021 at 8:45 pm

    Hello, everything is going fine here and ofcourse every one is sharing data,
    that’s really fine, keep up writing.

  43. https://spoolfabricshop.com on 16/09/2021 at 3:49 am

    Outstanding story there. What occurred after? Thanks!

  44. Danilo on 16/09/2021 at 5:55 am

    Good day! Do you know if they make any plugins to help
    with SEO? I’m trying to get my blog to rank for some targeted keywords but I’m not
    seeing very good results. If you know of any please share.
    Thank you!

  45. caffemartierdelray.com on 16/09/2021 at 8:45 am

    It’s genuinely very difficult in this full of activity life to listen news on Television, so I simply use web for that
    reason, and get the hottest information.

  46. tempussuisse.com on 16/09/2021 at 8:55 am

    Very energetic article, I liked that bit. Will there be a part 2?

  47. Deanna on 16/09/2021 at 9:44 am

    Great web site. A lot of helpful info here. I’m sending it
    to a few buddies ans additionally sharing in delicious.
    And naturally, thanks to your effort!

  48. dresslp.com on 16/09/2021 at 9:57 am

    You ought to be a part of a contest for one of the best websites on the internet.
    I will highly recommend this web site!

  49. Bernadine on 16/09/2021 at 10:04 am

    I am curious to find out what blog platform you’re
    utilizing? I’m experiencing some small security problems
    with my latest site and I would like to find something more
    safeguarded. Do you have any solutions?

  50. https://coloruza.com on 16/09/2021 at 10:21 am

    It is really a great and helpful piece of information. I am glad that
    you simply shared this helpful information with us. Please stay us informed like this.
    Thanks for sharing.

  51. Mckinley on 16/09/2021 at 10:24 am

    If some one needs to be updated with newest technologies then he must be visit this web page and be up to date all the time.

  52. Katharina on 16/09/2021 at 10:24 am

    I have been exploring for a little for any high quality articles or blog posts in this kind of house .
    Exploring in Yahoo I at last stumbled upon this
    web site. Studying this info So i am satisfied
    to convey that I’ve a very excellent uncanny feeling I discovered exactly what I needed.
    I most indubitably will make sure to don?t omit this web site and provides it a glance on a continuing
    basis.

  53. Hayden on 16/09/2021 at 10:26 am

    Remarkable issues here. I am very glad to peer
    your post. Thanks a lot and I am taking a look ahead to touch you.
    Will you please drop me a e-mail?

  54. precipitatejournal.com on 16/09/2021 at 10:31 am

    Hey There. I found your blog using msn. This is a very well written article.
    I will make sure to bookmark it and return to read more of your useful info.
    Thanks for the post. I’ll certainly comeback.

  55. Shay on 16/09/2021 at 10:39 am

    Hello, I do think your website may be having internet browser compatibility issues.
    When I take a look at your web site in Safari, it looks fine however, when opening in IE,
    it has some overlapping issues. I merely wanted to provide you with a quick heads up!

    Aside from that, fantastic website!

  56. Joleen on 16/09/2021 at 10:48 am

    Excellent article. Keep posting such kind of information on your blog.

    Im really impressed by your blog.
    Hey there, You’ve done a fantastic job. I will definitely digg
    it and individually suggest to my friends. I
    am confident they will be benefited from this website.

  57. newventuretools.net on 16/09/2021 at 10:49 am

    Post writing is also a fun, if you be acquainted with afterward you can write otherwise it is
    complex to write.

  58. Werner on 16/09/2021 at 11:51 am

    Hi! Would you mind if I share your blog with my zynga group?
    There’s a lot of folks that I think would really enjoy your content.
    Please let me know. Thank you

  59. Angela on 16/09/2021 at 12:04 pm

    Pretty section of content. I just stumbled upon your site and in accession capital to
    assert that I acquire actually enjoyed account your blog posts.
    Anyway I will be subscribing to your augment and even I achievement you access
    consistently quickly.

  60. Loyd on 16/09/2021 at 12:14 pm

    I think this is one of the most important information for me.
    And i’m glad reading your article. But want to remark on some general
    things, The website style is ideal, the articles is really excellent : D.
    Good job, cheers

  61. Anastasia on 16/09/2021 at 12:15 pm

    My partner and I absolutely love your blog and find the majority of your post’s to be precisely what I’m looking for.
    Would you offer guest writers to write content for yourself?

    I wouldn’t mind publishing a post or elaborating on most of the subjects you write about here.
    Again, awesome blog!

  62. tierranuevacocoa.com on 16/09/2021 at 12:58 pm

    This article is really a fastidious one it helps new the web visitors,
    who are wishing in favor of blogging.

  63. globalblackswan.com on 16/09/2021 at 1:33 pm

    Please let me know if you’re looking for a article author for your
    site. You have some really great posts and I believe I would be
    a good asset. If you ever want to take some of the load off, I’d love to write
    some material for your blog in exchange for a link back to mine.
    Please shoot me an e-mail if interested. Kudos!

  64. https://haciaelespacio.org on 16/09/2021 at 1:57 pm

    Hi there, I log on to your blog regularly. Your humoristic style is awesome,
    keep it up!

  65. Alexis on 16/09/2021 at 9:02 pm

    Thank you for sharing your info. I really appreciate your
    efforts and I am waiting for your next write ups thank you once
    again.

  66. grosir handuk on 16/09/2021 at 9:31 pm

    Јust wat to say your articlе is as astounding. The ⅽlarity to your
    put ᥙp is just cool and that i cаn assume yoս’re knowledgeable inn this subject.

    Well together with your permiѕsіon aⅼlow me to grab your feed to stay updated with impending
    ρost. Thanks 1,000,000 and please keep up the ɡratifying work.

  67. hltkd.tw on 16/09/2021 at 10:01 pm

    Touche. Great arguments. Keep up the good spirit.

    Here is my web page: A1 Keto BHB Ingredients (hltkd.tw)

  68. link slot deposit pulsa Tanpa potongan on 16/09/2021 at 10:05 pm

    You ѕhould be a part of a contest for one of the finest websiteѕ on the web.

    I most certаinly will recommend this site!

    Feeel free too visit my site … link slot deposit pulsa Tanpa potongan

  69. vip5.moisait2021.ru on 16/09/2021 at 10:26 pm

    Very good blog you have here but I was wondering if you knew of any
    user discussion forums that cover the same topics discussed
    here? I’d really love to be a part of group where I can get comments from other knowledgeable people that share the same interest.
    If you have any suggestions, please let me know. Kudos!

    Look at my site – Nucentix Keto X3 (vip5.moisait2021.ru)

  70. Pure CBD Softgels on 16/09/2021 at 11:07 pm

    I like the valuable info you provide in your articles.
    I will bookmark your weblog and check again here regularly.
    I am quite certain I’ll learn many new stuff right
    here! Best of luck for the next!

    My web site … Pure CBD Softgels

  71. info lengkap on 16/09/2021 at 11:23 pm

    Thɑnks designed fⲟr sharing such a glod idеa, article is fastidious, thats why i have гead it completely

  72. 카지노사이트 on 16/09/2021 at 11:24 pm

    When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each
    time a comment is added I get several e-mails with the same comment.
    Is there any way you can remove me from that service?
    Appreciate it!

  73. Mega Male on 16/09/2021 at 11:55 pm

    When some one searches for his vital thing, thus he/she
    wants to be available that in detail, thus that thing is maintained over here.

    Also visit my web blog :: Mega Male

  74. Steffen on 17/09/2021 at 12:39 am

    I needed to thank you for this fantastic read!!
    I absolutely enjoyed every bit of it. I have you book-marked to check out new stuff you
    post…

  75. Erectesto XL Pills on 17/09/2021 at 12:52 am

    My family members always say that I am killing my time here
    at net, but I know I am getting experience daily by reading such nice articles.

    Here is my website :: Erectesto XL Pills

  76. Horace on 17/09/2021 at 1:01 am

    Pretty nice post. I simply stumbled upon your weblog and wished to say that I’ve truly loved surfing around your blog
    posts. After all I’ll be subscribing on your rss
    feed and I am hoping you write again soon!

  77. UltraXTend Wifi Extender on 17/09/2021 at 1:07 am

    Saved as a favorite, I love your blog!

    Feel free to visit my page … UltraXTend Wifi Extender

  78. Gita on 17/09/2021 at 2:19 am

    May I simply just say what a comfort to find an individual who truly understands what they are
    discussing on the net. You definitely understand how to bring a problem to light and make it important.
    A lot more people ought to look at this and understand
    this side of your story. I can’t believe you are not more popular
    given that you most certainly possess the gift.

  79. www.Pure-Bookmark.win on 17/09/2021 at 2:30 am

    I loved as mᥙch as yߋu’ll receive carried out rright here.
    The sketch is tasteful, your authorеd sᥙbject
    matter stylish. nonethеless, ʏou commad get got an nervousness over that
    you wish be deⅼіvering the folloᴡing. unwelⅼ unquestionably come further formerly again as exactly
    the same nearly very often inside case you suield this hike.

  80. www.bookmarkpage.win on 17/09/2021 at 2:36 am

    Wow, that’s whɑt I was seeking for, what a information! existing here at this web site,thanks admin of this
    site.

  81. klik disini on 17/09/2021 at 2:44 am

    I blog օften andԀ I genuinely thank you for your content.
    Your artiсle haѕ truly peaked my interest.

    I’m gоing to book mark your ƅlog and keep chесking for new infoгmation about once per week.
    I opted in for yiսr Feed ass well.

  82. screen printing kit on 17/09/2021 at 2:51 am

    Ahaa, its niϲe dialogue concerning this post at thiѕ place at this ԝeblog,
    I hazve read all that, so now me also commenting aat this place.

  83. Remarkable issues here. I am very happy to peer
    your article. Thanks so much and I’m having a
    look forward to touch you. Will you kindly drop me a mail?

    My webpage … Extreme Muscle XXL Muscle Gainer; https://polywebhost.com/forum/viewtopic.php?id=253579,

  84. Roxana on 17/09/2021 at 3:22 am

    Thanks to my father who informed me concerning this blog, this web site is really
    awesome.

  85. check this link right here Now on 17/09/2021 at 3:22 am

    Hi to evеry body, іt’s my first pay a visit oof tһis website; tһus web site ⅽontains amazing and truly excellent information in favor of visitorѕ.

  86. www.fotosombra.com.br on 17/09/2021 at 3:23 am

    Hey There. I found your blog using msn. This is a very well written article.
    I will make sure to bookmark it and return to read
    more of your useful information. Thanks for the post.
    I’ll definitely return.

    My webpage: Erectesto XL Pills (http://www.fotosombra.com.br)

  87. Karl on 17/09/2021 at 3:44 am

    Hello there, You’ve done an incredible job. I’ll certainly digg it and personally suggest to my friends.
    I am sure they will be benefited from this website.

  88. link slot deposit Pulsa tanpa potongan on 17/09/2021 at 3:47 am

    For most гecent news you have to pay a visit web
    and onn tһe web I found thiѕ webb page as a finest ѡebsite
    for newest սpdateѕ.

    Also visit myy web blog … link slot deposit Pulsa tanpa potongan

  89. meteoritegarden.com on 17/09/2021 at 3:50 am

    Fastidious respond in return of this question with genuine arguments and describing all regarding that.

    My homepage; Max Melt Keto Ingredients (meteoritegarden.com)

  90. grosir handuk kimono on 17/09/2021 at 3:57 am

    I ɑm regular visitor, how are you everybody? Thiss post
    postted at thios weЬ site is actually pleasant.

  91. Quaⅼity articles is the important to interest the
    viewers to go to see the webb page, that’s what this web site iss providing.

    Also vіsit my webb page :: deposit slot pakai pulsa telkomsel 10rb tanpa potongan

  92. Louie on 17/09/2021 at 5:00 am

    I loved as much as you’ll receive carried out right here.
    The sketch is tasteful, your authored subject matter stylish.
    nonetheless, you command get bought an impatience over that you wish be delivering the following.
    unwell unquestionably come more formerly again since exactly the same nearly very
    often inside case you shield this increase.

  93. selengkapnya disini on 17/09/2021 at 5:30 am

    Mү brother recommended I mught likе this blog. He was entirely right.
    This post actually mаde my day. You can not imagіne simply how much time I had
    spent for thіs info! Thankѕ!

    my web bl᧐g selengkapnya disini

  94. Lesley on 17/09/2021 at 5:43 am

    you are actually a excellent webmaster. The site loading pace is amazing.

    It seems that you’re doing any distinctive trick. Furthermore, The contents are masterpiece.
    you’ve performed a wonderful job on this topic!

    Feel free to visit my blog post :: Bioneo Farms CBD Oil (Lesley)

  95. diigo.com on 17/09/2021 at 5:57 am

    Its like you rdad my mind! You appear to know a lot approximately this, like you wrote the
    ebhook in it or something. I believe that you just could
    do with a few p.c. to force the message home a little bit,
    however other than that, that is excellent blog.
    A great read. I will certainly be back.

  96. Hello, the whole thing is going perfectly here and ofcourse every one is sharing
    information, that’s ttruly fine, keep up writing.

  97. Grown MD CBD on 17/09/2021 at 6:05 am

    I’m still learning from you, while I’m trying to achieve my goals.
    I certainly liked reading everything that is posted on your site.Keep the aarticles coming.
    I loved it!

    Take a look at my website … Grown MD CBD

  98. link slot deposit pulsa tanpa potongan on 17/09/2021 at 6:27 am

    Have you ever considered about adding a little bit more tgan just уour articles?
    I mean, ѡhat you say is fundamental and everything.
    Nevertheless think about if yօu added ѕome gгeat gгaphics orr videos tο give
    your posts more, “pop”! Yoᥙr content is excellent bᥙt with imageѕ
    and videos, this site could certainly be one of the most beeficial
    iin its niche. Excellent blog!

    Also visit my homepage – link slot deposit pulsa tanpa potongan

  99. Luz on 17/09/2021 at 6:33 am

    Hi there, I found your website by the use of Google at the same time as looking for a related subject,
    your site got here up, it appears to be like great.
    I’ve bookmarked it in my google bookmarks.
    Hello there, simply become aware of your blog through Google, and
    found that it’s really informative. I’m going to be careful for brussels.
    I will appreciate in case you proceed this in future.

    Many folks will likely be benefited out of your writing.
    Cheers!

  100. Veronica on 17/09/2021 at 6:45 am

    I for all time emailed this bllog post page to all my associates, because if like to read it
    afferward my contacts will too.

  101. https://unsplash.com/ on 17/09/2021 at 6:47 am

    You have remarked very interesting details! ps decent web site.

  102. Quick Keto Trim Pills on 17/09/2021 at 6:48 am

    Thanks for your entire labor on this web site.
    Kim takes pleasure in going through investigations and it
    is easy to see why. I know all relating to the compelling form you give
    effective tips through the website and even inspire participation from some others about this concern plus our
    own simple princess is now understanding a whole lot.
    Take pleasure in the rest of the year. You have been doing a tremendous
    job.

    My page – Quick Keto Trim Pills

  103. There is clearly a bundle to identify about this.
    I think you made certain good points in features also.

  104. Ezra on 17/09/2021 at 6:56 am

    Thank you, I have just been looking for information approximately
    this subject for ages and yours is the best I have discovered so far.
    However, what in regards to the bottom line? Are you
    sure in regards to the supply?

  105. Cassie on 17/09/2021 at 7:28 am

    I do trust all the concepts you have presented in your post.

    They’re really convincing and will certainly work. Nonetheless, the posts are too quick for newbies.

    Could you please lengthen them a little from next time?
    Thank you for the post.

  106. Jade on 17/09/2021 at 7:50 am

    Hi it’s me, I am also visiting this site on a regular
    basis, this web page is genuinely fastidious and
    the visitors are in fact sharing fastidious thoughts.

  107. Reina on 17/09/2021 at 7:56 am

    Hello, i believe that i saw you visited my blog thus i came to
    return the desire?.I’m attempting to find things to improve my website!I suppose
    its adequate to make use of some of your ideas!!

  108. https://www.l2kimi.com/ on 17/09/2021 at 8:10 am

    Right away I am going to do my breakfast, when having my breakfast coming yet again to read more news.

    My webpage; Grown MD CBD, https://www.l2kimi.com/,

  109. Cornelius on 17/09/2021 at 8:25 am

    You made some good points there. I checked on the internet to learn more about the
    issue and found most people will go along with your views on this web site.

  110. handuk kecil grosir on 17/09/2021 at 9:07 am

    I’m curіpus to fijd out ᴡhat bloɡ platform you are utilizіng?
    I’m having some small security roblems with my latest website and I would like
    to find somethіng moe risk-free. Do you have any recommendations?

  111. Tasha on 17/09/2021 at 9:35 am

    Very quickly this web page will be famous among all blogging
    and site-building visitors, due to it’s fastidious articles or reviews

  112. www.meteoritegarden.com on 17/09/2021 at 9:46 am

    I needed to thank you for this good read!!
    I certainly loved every little bit of it. I have you book marked to
    check out new things you post…

    Also visit my site … Tundra Breeze Portable Air Conditioner [http://www.meteoritegarden.com]

  113. 먹튀사이트 on 17/09/2021 at 4:14 pm

    Awesome things here. I’m very glad to peer your
    post. Thank you a lot and I am looking forward to touch you.
    Will you please drop me a mail?

  114. 웹하드순위 on 18/09/2021 at 3:05 am

    It’s awesome to visit this web page and reading the views of
    all friends on the topic of this post, while I am also keen of getting experience.

  115. 먹튀검증업체 on 20/09/2021 at 12:29 am

    Hi there are using WordPress for your blog platform?
    I’m new to the blog world but I’m trying to get started and set
    up my own. Do you need any html coding knowledge to make your
    own blog? Any help would be greatly appreciated!

  116. Residential solar panels Perth on 21/09/2021 at 9:32 pm

    It’s fantastic that you are getting thoughts from this blog post as well as from our discussion made at this time.

  117. Stresser on 28/09/2021 at 1:17 am

    I’m really impressed with your writing skills as well as
    with the layout on your blog. Is this a paid theme or did you modify it yourself?

    Either way keep up the nice quality writing, it is rare to see a great blog like this one nowadays.

  118. karabük su arıtma on 06/10/2021 at 11:06 am
  119. I like the valuable info you provide on your articles.
    I’ll bookmark your blog and take a look at again here frequently.
    I’m slightly sure I will learn many new stuff proper here!
    Good luck for the following!

  120. toddler motrin dosage by weight on 09/10/2021 at 6:21 am

    what is the maximum mg of ibuprofen you can find out more

  121. Dafabet on 25/11/2021 at 6:17 pm

Leave a Comment