In a country like India there is still a significant cases of cardiac origin due to rheumatic cause. It is worth mentioning that many patients admitted in ICU setting are having overt or covert cardiac lesion and most of it are due to rheumatic cause. This affects the management plan and treatment guidelines if cardiac lesions are not diagnosed at the onset. We intend to look at the prevalence of silent cardiac lesions in an ICU setting in our study who are admitted for non–cardiac causes.