Exploring Cardio-Physicians' Clinical Challenges and Outcomes in Managing Multimorbid Cardiac Patients by Cross-Sectional Analysis

Background: Cardiovascular multimorbidity creates complex patient management challenges that cardio-physicians must prosecute. The study aimed to evaluate cardiophysician viewpoints about clinical challenges and health outcomes from managing cardiac patients with multiple health conditions. Methods: A cross-sectional observational study involving 40 cardio-physicians was conducted in a tertiary care hospital (Shaikh Zayed Hospital Lahore) from February 2023 until May 2023. Sample size of 40 using a consecutive sampling technique was used. A validated questionnaire collected data regarding diagnostic dilemmas, therapeutic conflicts, coordination issues, outcome monitoring, and patient adherence in multimorbid environments. By using SPSS version 20.0, the researchers analyzed responses by using descriptive statistics, thematic analysis, and chi-square testing. Results: A total of 32 80.0% of participants reported frequent diagnostic confusion because symptoms manifested similarly across various comorbid conditions. Medical patients face three primary difficulties, and these include multiple medications 36 (90.0%), alongside drug treatment restrictions 26 (65.0%) and fragmented healthcare services 26 (65.0%). Treatment outcomes suffered for more than half of the patients because their comorbidities led to care delays and changes. The majority of 85% of respondents said essential collaboration with nephrologists and endocrinologists together with geriatricians, was required. Conclusion: Multimorbid cardiac patients present multiple challenges to cardiophysician medical care providers. The treatment approach must address care separation while promoting specialized care interactions to build individual patient profiles because this strategy directly impacts patient health outcomes and quality of life.