Abstract : Rheumatoid arthritis (RA) is a chronic inflammatory disease of the joints that may also manifest with extra-articular characteristics. Cardiovascular disorders are among those extra-articular characteristics, including pericarditis, cardiomyopathy, myocarditis, cardiac amyloidosis, coronary vasculitis, arrhythmia, valve diseases, and, most significantly, congestive heart failure and ischemic heart disease. RA is linked to a higher death rate when compared to the general population, the bulk of which is caused by cardiovascular illnesses. The aim of this study is to assess the prevalence of Echocardiographic findings in patients with an established diagnosis of rheumatoid arthritis. A total of 50 patients (42 female: 8 male) diagnosed to have RA according to the ACR/EULAR classification criteria for Rheumatoid arthritis were involved in this cross-sectional study. Data collection was done using questionnaires and interview. Age, gender, disease duration, current medications, rheumatoid factor, anti CCP and Hemoglobin concentration. All subjects were evaluated by Trans-thoracic Echocardiography to determine cardiac functional and structural abnormalities. Mean age for patients was 49.53± 11.55 years. Echocardiographic abnormalities were found in 26 (52%). Most common echocardiographic abnormality was diastolic dysfunction. This study shows significant prevalence of cardiac involvement in RA patients.