Publications by authors named "Karel Kj Kuiper"

Background: In addition to favourable results regarding mortality and morbidity it is important to identify the impact transcatheter aortic valve implantation (TAVI) has on patients' quality of life.

Aims: The aims were: (i) to describe clinical characteristics, self-reported health and quality of life in octogenarians before TAVI intervention; (ii) to determine changes in self-reported health and quality of life one month after TAVI; and (iii) to establish the clinical importance of the findings.

Methods: A prospective cohort study was conducted on consecutively enrolled octogenarians with severe aortic stenosis undergoing TAVI ( N = 65).

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates sleep quality and insomnia in octogenarians after surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI), highlighting the importance of sleep during the recovery phase.
  • Results showed that SAVR patients faced more insomnia later in recovery, while TAVI patients had more insomnia earlier; however, total sleep time and sleep efficiency were similar for both groups, averaging 6.4 hours of sleep per night.
  • Overall, octogenarians experienced disrupted sleep and increased daytime sleep post-surgery, with distinct sleep patterns emerging between those who underwent SAVR and TAVI.
View Article and Find Full Text PDF
Article Synopsis
  • Ischemic stroke in young adults poses a significant health challenge, with a high recurrence rate and differing risk factors compared to older patients, yet many causes remain unidentified.
  • NOR-SYS is a prospective research study focused on collecting extensive data on ischemic stroke patients aged 60 or younger, including their family members, to investigate hereditary factors and arterial disease development.
  • The study aims to improve diagnostic methods, preventive care, and early interventions to minimize stroke recurrence and other related health issues for young stroke patients and their families.
View Article and Find Full Text PDF

Background: Percutaneous coronary intervention (PCI) in nonemergent patients with coronary artery disease in hospitals without on-site cardiac surgery backup is still controversial. To prospectively evaluate a set of low procedural risk criteria for PCI, patients with stable or unstable angina were randomized to treatment in either a community hospital, which had all supportive services except for on-site cardiac surgery, or a regional surgical hospital 213 km away.

Methods And Results: During a 4-year period, 609 (57%) of 1064 consecutive patients with stable or unstable angina who underwent coronary angiography at a teaching community hospital in Norway fulfilled the predefined low-risk criteria for PCI.

View Article and Find Full Text PDF