Introduction: Guidelines for the prevention of cardiovascular disease recommend the use of risk scores to identify adults at higher risk for whom preventive therapy has absolute benefits. Coronary heart disease (CHD) risk estimation tools are a simple means of identifying those at high risk in a community and hence a potentially cost-effective strategy for CHD prevention. Understanding the risks of atherosclerotic cardiovascular disease (CVD) allows for better patient education and management. Aim: 1)To study various risk factors in hypertensive patients according to Framingham criteria. 2)To asses risk of future cardiovascular events in hypertensive patients. Methodology: Study was conducted in 255 hypertensive patients in tertiary care center in south Gujarat, age 18 years or more without any previous history of cardiovascular disease. Framingham risk score was used to assess for estimating 10 years risk of developing cardiovascular disease. Results: In our study 44.70%, 37.25% and 18.03% population had high, intermediate and low 10- year CVD risk. Males had significantly higher CVD risk as compared to females (60% of males & 28.80% of female had high CVD risk). Conclusion: Higher risk in males was mainly due to history of smoking and diabetes. Significantly higher total cholesterol, low HDL cholesterol in the high risk group as against the low risk one.