Author explained how Echocardiography can be utilized for structural and functional information about heart in hypertension. Echocardiography is the best procedure to evaluate the cardiac effects of systemic hypertension, he most common cause of left ventricular hypertrophy and congestive heart failure in adults.Measurement of LVM by echocardiography is valid, serially reproducible and clinically applicable but has high inter-study variability, even with meticulous attention to technique.Since LVH is an important independent risk factor for cardiovascular complications in hypertensive patients, its detection may have an impact on patient management. In this context, echocardiography is very useful tool to measure the parameters of afterload (ESS, EISS) quantitatively and noninvasively, to evaluate the effect of pharmacological and non pharmacological methods for their effect on afterload.Because of its simplicity, lack of radiation exposure and lower cost than techniques of promising accuracy echocardiography has been established as an evaluation tool for research and clinical evaluation of hypertensive subjects. Dr ANIL KUMAR PANDEY, MD