The Approach to Thrombosis Prevention across the Spectrum of Philadelphia-Negative Classic Myeloproliferative Neoplasms
نویسندگان
چکیده
Patients with myeloproliferative neoplasm (MPN) are potentially facing diminished life expectancy and decreased quality of life, due to thromboembolic hemorrhagic complications, progression myelofibrosis or acute leukemia ensuing signs hematopoietic insufficiency, disturbing symptoms such as pruritus, night sweats, bone pain. In patients essential thrombocythemia (ET) polycythemia vera (PV), current guidelines recommend both primary secondary measures prevent thrombosis. These include acetylsalicylic acid (ASA) for intermediate- high-risk ET all PV, unless they have contraindications ASA use, phlebotomy PV patients. A target hematocrit level below 45% is demonstrated be associated cardiovascular events in PV. addition, cytoreductive therapy shown reduce the rate thrombotic complications prefibrotic (pre-PMF), similar recommended those ET. overt PMF may at increased risk bleeding thus require a more individualized approach thrombosis prevention. This review summarizes factors preventive against MPN.
منابع مشابه
Evolving Therapeutic Strategies for the Classic Philadelphia-Negative Myeloproliferative Neoplasms
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ژورنال
عنوان ژورنال: Hemato
سال: 2021
ISSN: ['2673-6357']
DOI: https://doi.org/10.3390/hemato2030025