Humida Eldisugi Hassan Mohammed, Mohamed Salah Mohamed Ibrahim, Elfaki Abdelsalam Mohamed Hamad, Eltalib Khalid Me, Mohammed Amal Khalil Yousif, Alhaj Rayan Eissa Elbadwi, Ahmed Hussain Gadelkarim
Department of Medicine, Faculty of Medicine, University of Kordofan El-Obeid, Sudan.
EL-Obeid Teaching Hospital El-Obeid, Sudan.
Am J Cardiovasc Dis. 2025 Apr 25;15(2):131-138. doi: 10.62347/IJAI8338. eCollection 2025.
Coronary angiography and emergency coronary revascularizations are critical for decreasing morbidity and mortality linked to coronary artery disease. Establishing and maintaining this service in armed conflict and on the battlefield poses challenges; however, it remains achievable. This study aimed to evaluate the results of coronary angiography in Sudan amid the armed conflict of 2023-2024.
This study utilized a retrospective descriptive analysis conducted at El-Obeid International Hospital (Aldaman) in North Kordofan State, Sudan. Patient data was obtained from the hospital for the period spanning April 15, 2023, to April 30, 2024.
Out of 314 diagnostic coronary angiograms, 32% had PCI with DES implantation, 18% showed normal coronary arteries, and the other 50% were treated with medication and advice from heart surgeons (CTC). Among the 100 patients who underwent PCI, 64% were male and 36% were female. The predominant age group was 50-59 years, succeeded by 60-69 years, under 50 years, and over 60 years, with incidence rates of 30%, 29.9%, 20.3%, and 18.2%, respectively.
The offering of cardiac catheterization laboratory services amid armed conflict poses challenges but is nonetheless feasible. Despite the tragedy, constrained resources, and the impact of wartime conditions, our findings were consistent with prior reports both locally and globally.
冠状动脉造影和急诊冠状动脉血运重建对于降低与冠状动脉疾病相关的发病率和死亡率至关重要。在武装冲突和战场上建立并维持这项服务面临挑战；然而，这仍是可以实现的。本研究旨在评估2023 - 2024年苏丹武装冲突期间冠状动脉造影的结果。
本研究采用回顾性描述性分析，在苏丹北科尔多凡州奥贝德国际医院（阿尔达曼）进行。收集了该医院2023年4月15日至2024年4月30日期间的患者数据。
在314例诊断性冠状动脉造影中，32%接受了药物洗脱支架植入的经皮冠状动脉介入治疗（PCI），18%显示冠状动脉正常，另外50%接受了心脏外科医生的药物治疗和建议（CTC）。在100例接受PCI的患者中，64%为男性，36%为女性。主要年龄组为50 - 59岁，其次是60 - 69岁、50岁以下和60岁以上，发病率分别为30%、29.9%、20.3%和18.2%。
在武装冲突期间提供心导管实验室服务面临挑战，但仍是可行的。尽管面临悲剧、资源受限和战时条件的影响，我们的研究结果与当地和全球先前报道一致。
