Background–Cardiac diseases are the leading causes of death in the age group of 35 to 64 years in India .The causes of sudden cardiac death in young & older people are different Aims &objectives– The present study aimed at studying the spectrum of cardiac lesions , it’s frequency ,age and sex distribution of cases in medicolegal autopsies. Material &methods– This was a retrospective study of histopathological examination of whole heart of medicolegal autopsy cases over a period of two years. Morphological examination of heart as per standard protocol was done .Data were analysed . Results– The commonest finding was coronary artery disease(34.7%) followed by ischaemic heart disease(16.26%).Unexpected & unusual lesions viz.metastasis from pancreatobiliary adenocarcinoma,leukemic infiltrate in myocardium and toxoplasma myocarditis were found during study period. Conclusion– Diseased hearts were 39% in the present study .So whole heart should be subjected for histopathological examination in all medicolegal autopsies.