Background: hypertension is prevalent in all the populations of world and is a serious risk factor for the patients . in many patients it is associated with metabolic syndrome which nearly doubles the risk . so we should investigate every patient with hypertension for with or without metabolic syndrome so as to save from its complications

Methods: Sixty patients males and females coming in out patient door of Pak Red Crescent Medical College Dina Nath who on history physical examination and investigations were diagnosed as essential hypertension were investigated for further differentiation into with or without metabolic syndromes.

Results: 21/60 patients with hypertension were found suffering from metabolic syndromes while 39/60 were not having metabolic syndrome. So a large number of patients were suffering from metabolic syndromes in our rural young population

Conclusion: the prevalence of metabolic syndromes should be evaluated in all hypertension patients and all the factors of metabolic syndrome should be treated as well