Abstract              Background: In developing countries, rheumatic heart disease (RHD) remains a significant cause of cardiovascular morbidity and mortality Aims and Objectives: To Study various Valvular Diseases in the patients of  Rheumatic Heart Disease   with reference to 2D Echo. Methodology: Present study was carried to study the clinical profile of Rheumatic fever (RF) and Rheumatic heart disease (RHD) in patients of all age groups. The study was approved by the ethics committee prior to commencement of data collection. This cohort study was conducted on all cases diagnosed as Rheumatic fever and Rheumatic Heart Disease. 196 cases fulfilling inclusion criteria were selected as subjects. These patients fulfilling the inclusion criteria were studied during period of 2 year. Result: Mitral regurgitation found in 76 (59.8%) of which 38 were isolated MR, mitral stenosis in 47(37.1%) patients with 17 of isolated MS. There were 37 (27.2%) patients of aortic regurgitation with 4 (3.1%) of isolated AR, 30 (23.6%) patients of aortic stenosis with 9 (7.1%) of isolated AS. There were 12 (9.6%) patients of functional tricuspid regurgitation all associated with mitral or aortic lesions.  Isolated  MR were 38 (29.92%), isolated MS were 17 (13.38%), isolated AR were 04 (03.15%), isolated AS were 09 (07.09%), combined diseases (MS+MR/AS+AR) were 22 (17.32%), multivalvular diseases were 37 (29.13%). Among combined diseases, MS+MR were 15 (11.81%) and AS+AR were 07 (5.51%). Conclusion: It can be concluded from our study that the most common lesion diagnosed on 2 D Echo were mitral regurgitation followed by aortic regurgitation  and tricuspid regurgitation  among isolated MR was common followed by MS Among combined diseases  MS+MR was common followed by AS+AR.

Key Words: Rheumatic Heart Disease, 2 -D Echo, Valvular heart disease.