India has the highest prevalence of iron deficiency anemia which is a significant contributor in the prognosis as well as progression of cardiac disease .Heart disease itself is the leading cause of death in India. Using simple hematological parameters and ECG we have established co-existence between iron deficiency and cardiac disorders. Materials and methods: Study duration was one year in few selected areas of Bilaspur and Ambikapur. Total of 36 subjects with anemia were found who underwent tests like Hb, MCV,MCH, MCHC, Hematocrit and ECG to detect cardiac disease as well and statistical analysis done. Results: The mean age of the patient was 52+ 2.5 years. The mean + SD Hb was 6.5 + 0.2 gm/dl. The mean + SD for MCV,MCH,MCHC was 70.2 + 2.1 fl, MCH was 22.2 + 2.4 pg, and that for MCHC was 25.5 + 1.2 g/dl respectively. The Hematocrit % ranged between 18.7 to 24.5 with the mean + SD value of 20.1 + 2.1. ECG findings varied from ST segment depression, T wave inversion, prolonged QT interval, abnormal QRS complex. Conclusion: Every anemic patients must undergo few tests for an early diagnosis of underlying heart disease so that without further delay , prompt management can prevent the associated morbidity and mortality

Keywords : Iron Deficiency Anemia, Heart Disease.