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Reply: further studies needed before using renin-angiotensin-aldosterone system blockade for atrial fibrillation prevention in hypertrophic cardiomyopathy
  1. Chen-Yu Huang,
  2. Lian-Yu Lin
  1. Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan
  1. Correspondence to Dr Chen-Yu Huang, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei 100, Taiwan; chenyo2007{at}gmail.com

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The Authors’ reply

We thank Dr Ramchand and his colleagues for valuable comments1 on our paper from the retrospective data from National Health Insurance Research Database in Taiwan.2

Several key points should be emphasised in interpretation of the observational study. First, although we did not know how many patients received cardiac MRI to establish or confirm the diagnosis of hypertrophic cardiomyopathy (HCM), it is uncommon to mistake hypertensive cardiac disease for HCM. Second, among patients with HCM without hypertension in our study, use of ACE inhibitors/angiotensin …

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