2.2 Animal tissues, organs and organ systems

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Question 1
Hard

A clinical study compared two methods of treating a severely leaking mitral heart valve in elderly patients:

  • Surgical Mitral Valve Repair (SMVR) (traditional open-heart surgery)
  • Percutaneous Mitral Valve Repair (PMVR) (a minimally invasive catheter-based procedure)

The data from the study is shown in the table below:

MeasurementSMVRPMVR
Number of patients in the study450045004500320032003200
Number of patients experiencing severe post-operative infection within 30 days270270270484848
Percentage of patients alive after 5 years82%82\%82%76%76\%76%
Percentage of patients requiring a secondary re-intervention within 2 years3.5%3.5\%3.5%14.0%14.0\%14.0%
a.

Explain how a severely leaking mitral valve leads to a reduced ability to perform aerobic exercise.

[4]
b.

Give one conclusion comparing the rate of severe post-operative infection within 30 days between the two groups. Include calculations of percentages to support your conclusion.

[3]
c.

Based on the data provided and your biological knowledge, evaluate the choice of PMVR compared to SMVR.

[4]

2.2 Animal tissues, organs and organ systems Questions

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  3. /2.2 Animal tissues, organs and organ systems