Nowadays valvular heart disease is a major cardiac problem all over the world. Rheumatic heart disease is one of the common cause of cardiac morbidity and mortality in India. We have tried to study incidence, demography, echocardiography and colour doppler findings of patients with valvular heart disease & its complications & long term outcome in multiple valvular lesions.A cross sectional study was conducted in a tertiary health care center. Total 124 patients were included in study. Their clinical history, electrocardiogram, chest x–ray and two dimensional echocardiography parameters were recorded and results were analysed.