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

Authors

  • Ansa Rehman Shaikh Zayed Hospital, Lahore,Pakistan.
  • Jaweria Amjad Memon Indus Medical College Tando Muhammad Khan, Sindh
  • Baloch Zaman Indus Medical college, The university of modern science, Tando Muhammad Khan, Sindh
  • Muhammad Hassan Butt Sindh Institute of Cardiovascular Diseases SICVD, Sukkur, Sindh, Pakistan.
  • Muhammad Ismail National Institute of Cardiovascular Diseases NICVD, Sukkur , Sindh, Pakistan
  • Kheraj Mal Sindh Institute of Cardio Vascular Diseases SICVD, Sukkur, Sindh, Pakistan
  • Muhammad Arsalan Shah University of Florence, Italy. https://orcid.org/0009-0009-1773-2623

DOI:

https://doi.org/10.36283/ziun-pjmd14-2/056

Keywords:

Multimorbidity, Cardiophysician perspectives , Clinical outcomes , Heart disease management

Abstract

Background: Cardiovascular multimorbidity creates complex patient management challenges that cardio-physicians must prosecute. The study aimed to evaluate cardio-physician 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 from February 2023 until May 2023. A validated questionnaire collected data regarding diagnostic dilemmas, therapeutic conflicts, coordination issues, outcome monitoring, and patient adherence in multimorbid environments. The researchers analyzed responses by using descriptive statistics and thematic analysis, and chi-square testing.  

Results: A total of 86.8% 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 (90%) alongside drug treatment restrictions (80%) and fragmented healthcare services (65%). 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 cardio-physician 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.

Author Biographies

  • Ansa Rehman, Shaikh Zayed Hospital, Lahore,Pakistan.

    Department of Allied Health Sciences, 

  • Jaweria Amjad Memon, Indus Medical College Tando Muhammad Khan, Sindh

    Department of Cardiology, 

  • Baloch Zaman, Indus Medical college, The university of modern science, Tando Muhammad Khan, Sindh

    Department of Cardiology,

  • Muhammad Hassan Butt, Sindh Institute of Cardiovascular Diseases SICVD, Sukkur, Sindh, Pakistan.

    Department of Cardiology,

  • Muhammad Ismail, National Institute of Cardiovascular Diseases NICVD, Sukkur , Sindh, Pakistan

    Department of Cardiology,

  • Kheraj Mal, Sindh Institute of Cardio Vascular Diseases SICVD, Sukkur, Sindh, Pakistan

    Department of Cardiology,

  • Muhammad Arsalan Shah, University of Florence, Italy.

    Department of Biomedical Sciences,

     

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Published

2025-04-13

How to Cite

1.
Rehman A, Memon JA, Zaman B, Butt MH, Ismail M, Mal K, et al. Exploring Cardio-Physician’s Clinical Challenges and Outcomes in Managing Multimorbid Cardiac Patients by Cross-Sectional Analysis. PJMD [Internet]. 2025 Apr. 13 [cited 2025 Jul. 10];14(2):373-7. Available from: https://ojs.zu.edu.pk/pjmd/article/view/3623

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