Chronic obstructive pulmonary disease is a leading cause of morbidity and mortality in adults all over the world. While other major causes of non-cancer mortality such as coronary artery disease and stroke have shown a consistent downward trend, COPD is the only one that continues to increase [1]. In the present study, Majority of patients were in the age group 61-70years. Out of 50 patients studied, 34 patients were male and 16 patients were females. Most of the patients are farmers by occupation followed by beedi worker and factory worker. Cough was present in 92% of patients, sputum production in 96% of patients, breathlessness in 88% of patients, weakness and fatigue was present in 54 % of patients and swelling of lower limbs in 30% of patients. Among 50 patients, 64% of patients were smokers and 36% were non-smokers. 82% of patients had use of accessory muscles of respiration, 52% patients had barrel shaped chest, chest movements were found to be minimal in 64% patients, rhonchi was present in 62% patients, crepitations were heard in 90% patients and clinical signs of pulmonary hypertension were present only in 36% patients.70% patients were found to have severe pulmonary hypertension, 28% had moderate pulmonary hypertension and mild pulmonary hypertension was present in 2%patients. Diagnosis of pulmonary hypertension in patients with COPD is difficult because patients diagnosed with COPD, and are stable, do not routinely undergo right heart catheterization – which makes PH more difficult to detect. In addition, the symptoms of both diseases are easily mistaken as the. While it is difficult to determine the prevalence of COPD with pulmonary hypertension, early detection can improve treatment and quality of life