Aortic valve disease is the most common valvular heart disease in the developed world1. Primary cause of Aortic valve diseases are age–associated calcific valve changes and inherited or congenital conditions (bicuspid Aortic valve or myxomatous mitral valve disease)2 . 50 cases were studied to evaluate ECG and chest X–ray of patients with Aortic valve diseases. 31 cases had cardiomegaly, of which 17 cases were of Mixed Aortic Stenosis (AS) + Aortic Regurgitation (AR) ( 34% ), 4 were Isolated AS lesions( 8% ), 8 were Isolated AR lesions (32% ), 2 were sclerosed lesions ( 4% ) (radiologically significant cardiomegaly i.e CTI ≥ 0.5). ECG evidence of LVH was seen in 54.5% of Pure AS and 47.1% of Mixed AS + AR, 7.7% of Pure AR and 22.2% of sclerosed aortic valve