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Introduction: Rheumatic heart disease accounts for about 234,000-492,000 deaths each year. Echocardiographic detection of significant regurgitation of mitral and aortic valves can form the basis for the diagnosis of rheumatic carditis. Study was proposed to be conducted to study the pattern of rheumatic heart disease in Varun Arjun medical college & Rohailkhand hospital, department of medicine, Banthra, Shahjahanpur, Uttar Pradesh, India with the aid of echocardiographic evaluation. Materials and Methodology: This present observational study was planned to be conducted between February 2016 and February 2019 in the Varun Arjun medical college & Rohailkhand hospital, department of medicine, Banthra, Shahjahanpur, Uttar Pradesh, India. This study incorporated all the echocardiograms of RHD patients that are needed to be performed during this period for analysis. Results: Sex distribution of 520 echocardiograms of RHD patients were analysed, which composed of 201 males, and 319 females as given in Table 2. Mitral stenosis (MS) was seen in 362 (69.8%) cases, Mitral Regurgitation (MR) was diagnosed in 358 (68.8%) patients' Aortic stenosis (AS) was seen in 63 (12.2%) cases and Aortic regurgitation (AR) was found in 232 (44.62%) cases. The frequency of isolated and mixed valvular lesions in a total of 520 RHD patients were tabulated in Table 3. Conclusion: The valvular involvement among females had a typically predominant MS, followed by MR, AR, AS, and organic TV disease. Whereas, in males MR leaded the valvular lesions followed by MS, AR, AS, and organic TV disease. [ABSTRACT FROM AUTHOR]