D-dimer in Marfan syndrome: effect of obstructive sleep apnea induced blood pressure surges

Author:

Sowho Mudiaga1ORCID,Schneider Hartmut2,Jun Jonathan1,MacCarrick Gretchen3,Schwartz Alan4,Pham Luu1,Sgambati Francis5,Lima Joao6,Smith Philip1,Polotsky Vsevolod1,Neptune Enid1

Affiliation:

1. Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland

2. American Sleep Clinic, Center for Sleep Medicine, Frankfurt, Germany

3. McKusick‐Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

4. Department of Otolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania

5. Center for Interdisciplinary Sleep Research and Education, Johns Hopkins School of Medicine, Baltimore, Maryland

6. Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland

Abstract

What is New? Surges in blood pressure caused by obstructive sleep apnea during sleep increase vascular stress and D-dimer levels in Marfan syndrome. Elevations in D-dimer can be lowered with CPAP. What is Noteworthy? D-dimer levels might serve as a marker for determining the significance of obstructive sleep apnea in persons with Marfan syndrome. D-dimer or obstructive sleep apnea screening is a potential method to identify persons with Marfan at a risk for adverse cardiovascular events.

Funder

HHS | NIH | National Heart, Lung, and Blood Institute

JHU | School of Medicine, Johns Hopkins University

Marfan Foundation

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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