Background: Pulmonary hypertension is a mean pulmonary artery pressure at rest of 20 mm Hg or more. It is considered to be the key intermediate patho phenotype leading to right sided congestive heart failure. subclinical pathological changes to cardiovascular function caused by untreated PH are associated with higher morbidity. Methodology- The study was conducted at a tertiary care hospital for period of 2 years, in the Department of Pulmonary Medicine & Cardiology. 50 patients fulfilling the inclusion and exclusion criteria were included in the study. All patients had two-dimensional and M-mode echocardiography and etiological causes for the newly diagnosed PH were identified. Details were obtained regarding the clinical profile of patients with PH. Results- Majority 44% of the patients were in the age group of 56-65 years. The mean heart rate of the patients was 90+12 per minute, the mean SBP of the patients was 132 + 22 mm of Hg, and the mean DBP of the patients was 77 + 12 mm of Hg. Majority of the patients had COPD. About 56 %of the patients had abnormal CT scan of the chest. 4 % of the patients had abnormal echocardiogram (transthoracic). Conclusion- Moderately pulmonary hypertension is the common type of PH. The right ventricular systolic pressure in ECHO help in diagnosis of PH and even in differentiation between various PH severity.