Cardiovascular diseases have become the single leading cause of death and disease burden globally in low and middle income or countries such as India. The aim of study is to evaluate medication adherence and risk factors and obtaining results from effective counseling. The objectives where to measure medication adherence and risk factors in cardiovascular patients. The methodology involves subjective who satisfy the study category taken into study and patient consent form was taken, subject information was collected using data collection forms and details of subjects were received. MMAS form was filled by patients for 3 follow ups and assessed. Data collected by using data collection form includes MMAS-8 criteria of assessing medication adherence and risk factors which we commonly see in CARDIO VASCULAR patients. The p value found to be insignificant and the patients are somewhat adhered to medication after second follow up. The patients were improved on medication adherence after second follow up. The gradual increase had observed with the adherence. Finally, this study states lack of medication adherence is leading cause for the progression of the disease and leading to death.