As the percentage of elderly cardiac population is growing and most of them have multimorbid conditions, we should find ways to improve their of life and to avoid their caregivers being burned out.~Asses quality of life of cardiac elderly patients with multimorbidity and to investigate the prevalence of burnout among their caregivers This study of multimorbidity among elderly cardiac patients attending Sohag university cardiac outpatient clinic and burnout among their care givers aims to:-~Study the effect of multimorbidity on health related quality of life of elderly cardiac patients.~Study determinants of health related quality of life among elderly cardiac patients with multimorbidity.~Study burnout prevalence among care givers
Older people with multimorbidity are frequent users of health care services, and there is a relationship between the number of chronic conditions and health care costs. In addition, multimorbidity increases the risk of mortality and functional decline, and this negatively impacts health-related quality of life~. Furthermore, research tends to focus on individual organ systems, often ignoring the complexity of care for older people with multimorbidity. Moreover, patient QoL is a meaningful measure in the evaluation of health care services and patient-reported outcome Caregiving demands significantly reduce caregivers' opportunities to have a lifestyle in which leisure or time for themselves is available. According to different empirically supported theoretical frameworks that point to the importance for caregivers of experiencing pleasant events and receiving positive reinforcement in their daily lives in order to maintain a positive mood, not engaging in personally satisfying activities may result in more social withdrawal and depression, putting caregivers at risk of developing emotional disorders.