Abstract: Objective To investigate the current status of high-risk groups of cardiovascular disease among residents aged 40-79 years in Anyang City, and investigate the related risk factors. Methods From January 2019 to January 2021, a community with a permanent population of ≥ 1 000 people was randomly selected in each of the four districts of Anyang City by cluster sampling method. Residents aged 40-79 years in the community were selected as the survey subjects to conduct a questionnaire survey and blood biochemical index detection related to the screening of high-risk factors of cardiovascular disease. According to the Chinese Guidelines for Cardiovascular Disease Prevention （2017） and The Chinese Expert Consensus on Blood Lipid Management of Patients with Ultra-High Risk Atherosclerotic Cardiovascular Disease, residents were evaluated for a high risk of cardiovascular disease. The risk of cardiovascular disease was analyzed by descriptive analysis, and the detection of high-risk factors was analyzed by univariate and multivariate analysis methods. Results A total of 3 150 permanent residents aged 40-79 years in Anyang City were included in this study. There were 1 597 males, accounting for 50.70%, and 1 553 females, accounting for 49.30%, with an average age of （64.02±6.31） years. A total of 670 high-risk cases of cardiovascular disease were detected, with a detection rate of 21.27%, including 268 high-risk cases of medical history and 402 high-risk cases of risk assessment. The results of multivariate analysis showed that males （OR=2.221）, aged 60-69 years （OR=3.221）, aged 70-79 years （OR=4.521）, body mass index （BMI） was 24.0-27.9 kg/m² （OR=2.698）, BMI ≥28.0 kg/m² （OR=2.845）, hypertension （OR=4.654）,abnormal LDL-C （OR=2.331） were the high-risk factors of cardiovascular diseases among residents aged 40-79 years in Anyang City. Conclusion The high-risk detection rate of cardiovascular disease in residents aged 40-79 years in Anyang City is relatively high, especially affected by factors such as gender, age, hypertension, etc. It is necessary to carry out extensive health education on cardiovascular disease prevention and control for the above-mentioned key high-risk groups, and actively advocate civilized healthy lifestyles to curb the rise in morbidity, recurrence, and mortality from cardiovascular disease.

Key words: Middle-aged and elderly, Community residents, Cardiovascular diseases, High risk, Risk factor