Cardio-vascular diseases are one of the leading causes of deaths in Afghanistan accounting for 19% of the total annual deaths [1]. Cardiology at Amiri Medical Complex is developing as a key department, which has already treated a record number of cardiac patients in the history of Afghanistan in just three years of its establishment. The main focus of the cardiology department is the delivery of top-quality and timely cardiac care to patients in the hospital setting that is critical to its success. Over the last three years, there has been a significant improvement and many trail blazing achievements specifically in diagnosis and management of adult and pediatric cardiac patients with a mortality rate which is unique in the heart health history of Afghanistan and comparable to international centers.