Background and objective: cardiovascular diseases are increased in each year in India. Cardiovascular diseases more are occurred in the economically productive age group. This will affect their family and also the nation. Aim of the study is to find out the different types of heart diseases and the case fatality rate of cardiovascular disease from 1st April 2005 to 31st March 2010 in a teaching hospital. Materials and Methods: The retrospective study conducted on hospitalized patients admitted with cardiovascular diseases from 1st April 2005 to 31st March 2010. Medical records department follows the guide lines of International Classification of Diseases (ICD)-10 coding for entering the data, from that data were collected. Results: Of 10427 cases, 6324 (60.65%) were males and 4103(39.35%) females. Cardiovascular disease was more among males than females. It was more occurred in ≥60 years. Most of them were occurred due to cerebrovascular disease (33.7%). Ischemic heart disease was more among males than females. Total number of deaths due to cardiovascular disease was 797. Of them 525(65.87%) were males and 272(34.13%) females. Case fatality due to cardiovascular diseases was 7.64%. Case fatality among males (8.3%) were more than females (6.63%) (P=0.00). Conclusion: This study mentioned that most of the cases and deaths were occurred in 60 and above years. Second leading age group is 25-59 years. Accident in economically productive people was high. It will affect their family and also the nation. Hence it can be reduced by conducting health awareness programme.