Response to “Exercise-induced ectopy and its relationship to fitness, cardiac function, and markers of severity in youth with pectus excavatum”

We read with great interest the article entitled “Exercise-induced ectopy and its relationship to fitness, cardiac function, and markers of severity in youth with pectus excavatum” by Piczer et al. [1]. The authors provide an important contribution by demonstrating that patients with pectus excavatum exhibit a higher incidence of ventricular ectopy, and that this finding is more common in individuals with greater markers of chest wall structural abnormality. This observation adds to our understanding of the potential cardiovascular implications of pectus excavatum beyond its well-recognized cosmetic and psychosocial impact.