You are incorrect - our patient's apical impulse is double systolic with a presystolic component.
Your choice: Early systolic + hyperdynamic
An early systolic and hyperdynamic apical impulse is typically felt when there is an increased stroke volume associated with an increased preload and an increased velocity of contraction due to reduced afterload. In the video, note the hyperdynamic apical impulse occurs with the carotid pulse.
