This study aims to investigate changes in echocardiography associated with chronic obstructive pulmonary disease.As echocardiography is the initial test used in the evaluation of symptomatic cardiovascular patients, the assessment of right heart structure and function along with left heart parameters proves mandatory. Our study showed that prevalence of pulmonary hypertension increased with severity of COPD. Severe pulmonary hypertension was not observed in our study with stable COPD patients. Right ventricle hypertrophy and diastolic dysfunction of left ventricle were the other common findings in COPD patients. Since cardiovascular disease is the major cause of morbidity and mortality in COPD, it is essential to evaluate the cardiac status at the time of initial diagnosis. The overall survival and quality of life can be improved by addressing this comorbidity.