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SHJ, Vol 5, No 1                                                 S Abusin, State of the Journal


                                                  State of the Journal
                                   Salaheldin Abusin, MBBS, MRCP (UK), FACP, FACC, FSCAI
                                          Interventional Cardiologist, Dubuque, IA, USA
                                              Associate Editor, Sudan Heart Journal

               It gives me great pleasure to write this editorial for the journal’s fourth issue since publication was
               resumed after a 21 month hiatus. In this editorial, I would like to reflect on the positive change in
               Cardiology practice over the last 20 years. In spite of considerable economic and political challenges
               in health delivery,   there has been a significant and steady growth in Cardiac services in Sudan.
               Twenty  years  ago,  there  was  only  one  center  providing  tertiary  cardiac  care  in  Sudan  –  Shaab
               Teaching  hospital;  this  has  increased  to  six  tertiary  centers  in  Khartoum  and  Wad  Medani  (See
               Table 1). Moreover, there are numerous Cardiac Catheterization laboratories that routinely perform
               percutaneous procedures in Khartoum, River Nile & Northern States.
               Furthermore,  the  Sudanese  Medical  Specialization  Board  (SMSB)  has  introduced  postgraduate
               medical training in Adult Cardiology, Pediatric Cardiology & Cardiothoracic surgery. The first batch of
               Sudan  trained  adult  and  pediatric  cardiologists  graduated  in  2014;  an  important  step  in  retaining
               skills with the continuous brain drain that plagues Sudan similar to other countries in sub-Saharan
               Africa (1).
               This growth  in  Cardiology  Service  was  also  reflected  on  the  number  of  publications  coming from
               Sudan.  A  search  of  the  literature  for  scientific  articles  indexed  on  PubMed  whose  authors  are  in
               Sudan  or  were  conducted  in  Sudan  reveals  a  significant  increase  in  the  number  of  Cardiology
               related publications over the last 10 years (Figure 1).  In Sudan Heart Journal, we do believe that
               there is significant room to increase Cardiology research productivity in Sudan; and that there is an
               untapped potential to produce the next generation of researchers in heart disease in Sudan.
               With this introduction, I share with you Volume 5, Issue 1, Dr. Mohamed Ibrahim reviews the role of
               PSCK9  Inhibitors  in  cholesterol  management.  Prof.  Mohamed  Elbagir  Khalafalla  Ahmed  gives  a
               focused review on Hypertension control. This is followed by 3 case reports with a coronary focus: the
               first  a  report  of  successful  percutaneous  coronary  intervention  (PCI)  during  cardiac  arrest,  the
               second reviews the role of Impella in hemodynamic support during elective high risk PCI; and the
               third  presents  a  rare  combination  of  anomalous  coronary  artery  and  Wolff-Parkinson-White
               syndrome. We have two interesting cardiology images; and to wrap up this issue. Dr. Telal Mudawi
               shares a patient complaint that was peer reviewed to assess if standards of care were met.

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