Abstract : Present study was conducted to estimate the prevalence of cardiovascular disease CVD risk factors and to predict cardiovascular risk in next 10 years among adults residing in urban communities of Guntur. 250 individuals aged 40 years and above were interviewed personally about socio demographic profile, family history, diet; personal habits, physical activity, and stress were collected. Blood pressure, anthropometric measurements, total cholesterol and random capillary blood glucose levels were measured. Among participants majority were females, Hindus, married, Non -literate, homemaker, living in family of up to 4 members. Nearly 63.2 % of them belonged to upper lower socio-economic status according to Kuppuswamy Scale of Socio Economic Status. The prevalence of Tobacco and Alcohol consumption was 24.4 % and 15.6 %, Hypertension and Diabetes was 49.2 % and 28.8 %, Pre-hypertension and Pre-diabetes (IGT) was 15.6 % and 13.6 %, Hypercholesterolemia (Total cholesterol) was 24.4 %, 16 %. 43.2 % of males and 3.6 % of females had abdominal obesity with substantial risk of co-morbidities. In the present study, most of the study participants (45.6 %) had moderate stress and about 6.8 % had extremely severe stress according Depression, Anxiety and Stress Scale-21 (DASS-21). Physical inactivity was higher among males than females. In the present study, it was found that 25.6% of the study participants had very high (≥ 40 %) risk of developing fatal or non-fatal CVD event in 10 years. 18 % of the study participants had 10-19 %risk, 23.2% had 20-29 % risk and 8 % had 30-39 % risk.