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Your GP may refer you to a haematologist a specialist in blood disorders for more tests, to confirm the diagnosis and to determine the underlying cause. Seek emergency medical help if you think that you or someone you're with is having a heart attack or stroke. Secondary polycythaemia Secondary polycythaemia is where an underlying condition causes more erythropoietin to be produced. Relative polycythaemia This is similar to apparent polycythaemia. Although caused by a genetic change, PV isn't usually inherited. However, people with PV can have a slightly lower life expectancy than normal due to the increased risk of problems, such as heart attacks and strokes.

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