Background: Rheumatoid arthritis (RA) is a chronic multi system disease of unknown cause. The most frequent site of cardiac involvement in RA is the pericardium. Cardiac disease is clinically silent and is rarely a life-threatening complication in RA. Cardiac failure is the result of either systolic or diastolic dysfunction, or both. Hence this study was conducted to study correlation of electrocardiographic abnormalities and echocardiographic findings in rheumatoid arthritis patients without clinically evident cardiovascular manifestations with the duration of disease