Acquired valvular heart disease ( AVHD ) is related to conditions where heart valve function decreases over time because of Various factors, resulting in impaired blood flow particularly within the heart. Causes for AVHD include rheumatic fever, degenerative changes, infective endo carditits, atherosclerosis and hypertension. Diagnosis is based on echo cardiogram, electro cardiogram (ECH), chest X_ ray and Cardiac MRI or CT scan. Treatment is dependent on medications, valve repair or replacement and life style changes. Finally it is concluded that AVHD poses significant health risks and can greatly impact an individuals quality of life.