Introduction: Chronic kidney disease (CKD) carries a significant association with cardiac diseases, which suggests a minor reduction in the glomerular filtration rate (GFR) can act as an independent risk factor for causing cardiovascular abnormalities . The combination of risk factors accelerates the progression of arterial disease and is associated with a greater prevalence of ventricular hypertrophy, myocardial fibrosis, valvopathy, arrhythmia, ischemia and sudden death. Early detection of cardiovascular abnormalities in CKD helps in reducing morbidity and mortality and improving the quality of life. Aim: To study cardiac manifestations in CKD Materials and methods : The study was conducted in patients with chronic kidney disease admitted in the department of General Medicine , Al Ameen medical college ,Bijapur ,Karnataka on 140 CKD cases.