Objective：To understand the level of ideal cardiovascular health（ICVH）in Chinese population，analyze the relationship between ICVH score and the current prevalence of cardio-cerebrovascular disease（CVD），and provide evidence for developing effective strategies for CVD integrated health management among populations. Methods：A multi-stage cluster random sampling method was used to conduct a survey，physical examination，and laboratory tests on 21 815 permanent adult residents from 2 counties in Suqian City in 2019. The relationship between ICVH scores and disease progression were analyzed by the trend χ² test，and the relationship between CVD prevalence and the number of ideal ICVH indicators and score（non -）adjusted models was analyzed by multivariate logistic regression. Results：The prevalence rate of CVD among the residents was 45.7%. The average ICVH score was （8.60±2.24）points，with most residents achieving（3-4）index standards（57.5%）. The highest rate of achieving an ideal level for an individual ICVH indicator was for tobacco control（80.9%）and the lowest was for a healthy diet（0.1%）. Compared to the low ICVH score group（0-7 points），the moderate level（8-9 points）and the high level group（10-15 points）had a 38% and 69% lower likelihood of developing CVD[OR_{ICVH8- 9}=0.617（0.577-0.661），OR_ICVH10-15=0.308（0.286-0.331）]，respectively. Conclusion：The CVD burden among key populations in the surveyed area is realatively heavy，and the ICVH level is low. There is a negative correlation between ICVH levels and CVD risk. It is recommended to strengthen comprehensive interventions on poor dietary behavior，physical activity and blood pressure control.