Polycythemia Vera (PV) Education | Blood Cancer

Polycythemia Vera (PV)


Polycythemia vera (PV) is a rare type of myeloid cancer marked by the overproduction of red blood cells (erythrocytosis) in the bone marrow.1 This increase in red blood cells thickens the blood, which may raise the risk of serious cardiovascular and thrombotic events, such as stroke, deep vein thrombosis (DVT) and pulmonary embolism.2,3,4

PV affects approximately 155,000 people in the United States and a similar number across Europe. The median age at diagnosis is 60 years.1

Hematocrit (HCT) and Disease Management


In PV, the key treatment goal is to achieve and maintain a hematocrit (HCT) level below 45%. HCT refers to the proportion of red blood cells relative to the total blood volume.5

  • Controlled HCT can reduce the risk of clotting events and alleviate symptoms.5
  • Common approaches to reduce HCT include phlebotomy (removal of blood from the body) and medications designed to lower red blood cell counts.6

Current Treatment Approaches


Despite available treatment strategies:

  • Up to 78% of patients in real-world studies have uncontrolled HCT and continue to suffer symptoms of PV.6
  • Phlebotomy may help reduce HCT, but could also:
    1. Contribute to iron deficiency.
    2. Cause or worsen symptoms such as dizziness, headaches, weakness or visual disturbances.
    3. Lead to a burden on patients’ quality of life. 7,8

Symptoms and Impact


Patients with PV may experience a range of symptoms that affect daily life:

  • Headaches
  • Fatigue or weakness
  • Dizziness or balance issues
  • Visual changes
  • Night sweats
  • Itching (pruritus)
  • Difficulty concentrating

Not every patient will experience the same set or severity of symptoms.

Frequently Asked Questions (FAQ)


Note: These FAQs are for educational purposes only and do not substitute medical advice. Patients should always consult their healthcare provider.


References