Background: Chronic Kidney Disease (CKD) is a progressive disorder often linked to cardiovascular complications, the leading cause of morbidity and mortality in elderly patients. This study aims to assess the cardiovascular profile in elderly patients with CKD. Methods: This cross-sectional observational study was conducted at PES Hospital, Kuppam, with 81 CKD patients aged ≥60 years. The cardiovascular profile was assessed using clinical examinations, electrocardiography (ECG), echocardiography, and various biochemical markers. Results: Out of 81 participants, 72.8% were in CKD Stage 5. The most common cardiovascular manifestations included left ventricular hypertrophy (37%) and elevated systolic blood pressure (43.2% had SBP 160-180 mmHg). Biochemical parameters showed significant associations between CKD stage and serum creatinine, phosphorous levels, and eGFR. Conclusion: The findings highlight the high burden of cardiovascular abnormalities in elderly CKD patients. Regular cardiovascular monitoring is crucial for preventing complications and improving outcomes. Funding: No specific funding was received for this study.