The 20th century has seen an unparalleled increase in life expectancy worldwide and as a consequence, there has been a major shift in the etiology of illness, morbidity and mortality throughout the world. With such as significant effect on morbidity and mortality in the elderly, hypertension continues to remain a major medical challenge. Lander Brunton in 1909 and Janeway in 1915 established 150 mm of Hg systolic blood pressure as the upper limit for elderly in the present study of clinical profile of elderly with long standing hypertension with special reference to fundus and 2D Echocardiography findings. The most common age group affected with hypertension in elderly was 65-74 years with greater prevalence in females.