Lower extremity peripheral arterial disease (PAD) is common among older men and women. The frequency of intermittent claudication increases with age from 0 to 6 percent in people aged 45 to 54 years to about 9 percent in patients aged 65 to 74 years. Patients with known arteriosclerotic coronary, carotid, or renal artery disease are likely to have concomitant lower extremity PAD. This study includes patients who were admitted with symptomatic non coronary disorder and on further work up, they were found to have coronary artery disease. These include patients with carotid stenosis, patients with valvular heart disease and patients with lower limb ischemia. On admission the vital data of the patients were recorded in accordance with the patient proforma. History was recorded, clinical examination findings charted. Majority of the patients (84%) had lower limb vascular involvement along with coronary artery disease. Almost half of the patients in this series had good LV function and about one third had mild to moderate dysfunction. 20% had severe LV dysfunction.