Following Questions :A 65-Year-Old Man Went for an Annual Checkup

Following Questions :A 65-year-old man went for an annual checkup and had the following EKG recorded at his physician's office.
-What is the most likely diagnosis?

A) Right ventricular hypertrophy
B) Left bundle branch block
C) Pulmonary valve insufficiency
D) Right bundle branch block
E) Systemic hypertension