Humida Eldisugi Hassan Mohammed, Ibrahim Salah Mohamed, Mohammed Amal Khalil Yousif, Hamid Namarig Alhadi, Ahmed Mirghani Osman Ali, Ahmed Hussain Gadelkarim
Department of Medicine, Faculty of Medicine, University of Kordofan.
Department of Medicine, EL-Obeid Teaching Hospital.
Cardiovasc Endocrinol Metab. 2025 Mar 27;14(2):e00329. doi: 10.1097/XCE.0000000000000329. eCollection 2025 Jun.
Sudan is among the few countries in sub-Saharan Africa that offers free thrombolytic therapy and complimentary access to catheterization laboratories for its patients. This study examines the patterns of percutaneous coronary interventions (PCIs) conducted within 1 year during the Sudan war of 2023-2024 in low-resource regions within the conflict zone.
We conducted a retrospective descriptive analysis at El-Obeid International Hospital in North Kordofan State, Sudan, from April 2023 to 2024. We have systematically collected data pertaining to patients who underwent the procedure during the specified period.
We investigated 100 patients who underwent PCIs. We performed PCIs in 80% of cases for patients with acute coronary syndrome and 20% for those with chronic coronary syndrome. All patients involved in the procedures used drug-eluting stents. Males constituted 64% of the total, while females accounted for the remaining 36%. The most common age groups are 60-69 and 50-59, with incidence rates of 31 and 30%, respectively. Approximately 51% of the participants resided in rural areas, while the remaining 49% were from urban locations. About 32% of the patients held employment, while 24% were unemployed. In 92% of cases, the vascular access was femoral, while the remaining 8% utilized radial access.
It is feasible to establish and maintain catheterization laboratory services despite the challenges posed by war and the associated risks to personal safety. We must enhance healthcare policies, regional networks, and training to improve access to thrombolytic therapy within the necessary timeframe. Certain centers in Sudan can safely conduct primary PCI.
苏丹是撒哈拉以南非洲少数几个为患者提供免费溶栓治疗并免费使用导管室的国家之一。本研究调查了2023 - 2024年苏丹战争期间冲突区内资源匮乏地区在1年内进行的经皮冠状动脉介入治疗（PCI）模式。
我们于2023年4月至2024年在苏丹北科尔多凡州的奥贝德国际医院进行了一项回顾性描述性分析。我们系统地收集了在指定期间接受该手术的患者的数据。
我们调查了100例接受PCI的患者。急性冠状动脉综合征患者中80%的病例进行了PCI，慢性冠状动脉综合征患者中20%进行了PCI。所有参与手术的患者均使用药物洗脱支架。男性占总数的64%，女性占其余的36%。最常见的年龄组是60 - 69岁和50 - 59岁，发病率分别为31%和30%。大约51%的参与者居住在农村地区，其余49%来自城市地区。约32%的患者有工作，24%失业。92%的病例血管入路为股动脉，其余8%采用桡动脉入路。
尽管战争带来挑战和个人安全存在相关风险，但建立和维持导管室服务是可行的。我们必须加强医疗保健政策、区域网络和培训，以便在必要时间范围内改善溶栓治疗的可及性。苏丹的某些中心可以安全地进行直接PCI。
