This study was a cross sectional study to analyse the association of COPD with hypertension as a co-morbidity. Spirometry and Blood pressure was measured in 30 patients. There were 26 male patients in this study while 4 were females. The range of age was between 42 to 69 years in this study. Out of 30 patients studied 25 gave a positive history of smoking or were ex-smokers. Smoking elevates the blood pressure by increasing the arterial stiffness. 17 out of 30 patients were having hypertension in this study. What causes hypertension in COPD patients may be related to alternation of autonomic function. This may be further elevated by increased arterial stiffness related to COPD. Wherever possible spirometry should be done in all patients of hypertension and preventive measures such as discontinuation of smoking advised to relevant patients. Management of COPD and Hypertension is a quality driven process and community surveillance of cardiovascular diseases should be undertaken in an extensive manner wherever possible