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Correspondence on ‘Hypertensive response to exercise in adult patients with repaired aortic coarctation’ by Meijs et al
  1. Nejc Pavšič,
  2. Polona Kačar,
  3. Jure Dolenc,
  4. Katja Prokšelj
  1. Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia
  1. Correspondence to Dr Nejc Pavšič, Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia; nejc.pavsic{at}kclj.si

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To the Editor: We read with great interest the recently published article by Meijs et al addressing hypertensive response to exercise (HRE) in adult patients with repaired coarctation of aorta (CoA).1 The study included a large cohort of patients from the Dutch Congenital Corvitia (CONCOR) registry. The main finding was that HRE is very common in adults with repaired CoA, occurring in 44% of patients. Male sex, absence of bicuspid aortic valve and higher resting systolic blood pressure (SBP) were predictive of HRE. Furthermore, HRE was associated with the development of hypertension at follow-up, whereas no association with cardiovascular events was demonstrated.1

The presented results fill the knowledge gap on HRE in patients with CoA; however, we would like to point out some caveats in the interpretation of blood pressure measurements during …

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Footnotes

  • Contributors All authors contributed equally to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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