26. Choice D is the correct answer. There is both left ventricular and left atrial hypertrophy. The left atrial hypertrophy is demonstrated by the biphasic P wave seen in V1. Since the terminal portion of the P wave is large and wide, this represents left atrial hypertrophy. Left ventricular hypertrophy is demonstrated by the QRS complex in both height and depth in leads V1-V6, the largest S wave and R wave is lead V5.
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