 This study reports that the incidence, death, and disability-adjusted life years of total cardiovascular disease, CVD, and its subtypes in China have significantly increased from 1990 to 2019. The leading causes of CVD burden include stroke, ischemic heart disease, hypertensive heart disease, high systolic blood pressure, unhealthy diet, tobacco, air pollution, and high body mass index, BMI. Despite some progress in reducing the burden of stroke, the burden of ischemic heart disease has increased. Intensified strategies and policies are needed to maintain promising progress in stroke and reduce the escalating burden of ischemic heart disease, while more efforts are required to address the CVD burden attributable to risk factors, particularly high BMI. This article was authored by Huan Wang, Hao Zhang, Zhiyongzou, and others.