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September, 2026
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Rasha E.: Exploring Polycythemia Vera: Beyond the Hematocrit
Sep 8, 2026, 02:46

Rasha E.: Exploring Polycythemia Vera: Beyond the Hematocrit

Rasha E., Senior Clinical Pharmacist and Pharmacy Training Program Director at Abu Dhabi Stem Cells Center (ADSCC), shared a post on LinkedIn:

“Polycythemia Vera (PV): Beyond the Hematocrit

A valuable review from Hemostasis Today highlighting an important aspect of Polycythemia Vera management: thrombosis prevention requires more than simply treating the acute event.

PV is a chronic myeloproliferative neoplasm associated with a significant risk of both arterial and venous thrombosis.

Key clinical takeaways:

  • Maintaining hematocrit <45% remains a cornerstone of thrombosis prevention.
  • Following VTE, anticoagulation should be individualized according to the clinical scenario and patient-specific bleeding/thrombotic risks.
  • The need for concomitant aspirin should be carefully reassessed when therapeutic anticoagulation is initiated.
  • Appropriate cytoreductive therapy plays an important role in high-risk patients and secondary prevention.
  • Unexplained splanchnic vein thrombosis should prompt consideration of an underlying myeloproliferative neoplasm, including JAK2-mutated PV.
  • Emerging therapies such as rusfertide may offer additional options for controlling erythrocytosis and reducing phlebotomy requirements.

My takeaway:

The goal is not simply to treat the clot – it is to control the underlying disease, reduce recurrent thrombotic risk, and optimize long-term outcomes.

This is where multidisciplinary collaboration between hematology, clinical pharmacy, and thrombosis specialists can make a meaningful difference.

An excellent resource for clinicians managing patients with PV and thrombotic complications.

Source: Hemostasis Today – Anticoagulation and Contemporary Secondary Prevention of Thrombosis in Polycythemia Vera.”

Rasha E.

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