Background: The electrocardiogram (ECG) is the graphical display of the various electrical changes of the heart. It plays an important role in the diagnosis of various heart diseases. It is one of the methods of assessing the effects of hypertension on one of its target organ heart. It remains one of the most sensitive methods for establishing left ventricular hypertrophy (LVH) and is often abnormal even when there is no left ventricular heave and chest x-ray shows no classical or obvious left ventricular enlargement. The study was done with objective to asses the Electrocardiographic features of male which were ≥ 30 years in Urban and Rural Prayagraj.Methods: A community based cross-sectional study was carried out in Prayagraj District. Study participants were 620 males, 310 urban and 310 rural of age equal or above 30 years and study sampling technique were two stage random sampling. The data was collected by using predesigned, pretested, semi structured questionnaire and analyzed by using SPSS 23.0 version.Results: LVH is a marker of severity of hypertension. It is an important cardiac risk factor and it has a substantial clinical significance on the course of cardiovascular events in terms of morbidity and mortality.Conclusions: Left ventricular hypertrophy, a cardinal manifestation of hypertensive cardiac damage.