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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 …
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.