!DOCTYPE html> Ventricular Septal Defect

You are incorrect - this patient's electrocardiogram demonstrates biventricular hypertrophy and left atrial enlargement.

Your choice: Right ventricular hypertrophy and some Left Ventricular Hypertrophy
This electrocardiogram in a one-year-old patient demonstrates right ventricular hypertrophy and some left ventricular hypertrophy.
The characteristic features of right ventricular hypertrophy include tall, almost 100% R waves with biphasic T waves in precordial leads V3R and V1.
The presence of tall R waves in V6 and a significant Q wave with dominant R in V7, in the presence of RVH, indicate some left ventricular hypertrophy as well.
The P waves are normal, consistent with absence of left atrial enlargement.