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How does Poe structure the opening paragraph in "The Tell-Tale Heart" to create tension? A:Poe opens with an unknown narrator calmly but defensively explaining that the story he is about to tell is not the work of a madman. B: Poe uses the point of view of a diseased man accused of being mad to build empathy because he hears things that no mortal man understands. C: Poe establishes how the narrator is able to hear so much more clearly now that he understands his disease. D: Poe introduces a madman trying to convince himself of his own sanity by claiming that the story he is about to tell himself is really what happened. ​