This paper provides an updated overview of the burden of cardiovascular disease (CVD), particularly coronary heart disease (CHD) and stroke, in Europe for 2014. CVD remains the leading cause of death in Europe, accounting for over 4 million deaths annually, nearly half of all deaths in the region. Despite recent decreases in mortality rates in many countries, CVD still causes more than twice as many deaths as cancer in many European countries. The paper highlights significant inequalities in CVD mortality and morbidity between countries, with some Eastern European countries, such as Russia and Ukraine, showing higher mortality rates for CHD among 55-60 year olds compared to France for people 20 years older. The trends in mortality rates have varied widely, with some countries experiencing substantial reductions while others have seen increases. Case-fatality rates after acute myocardial infarction (AMI) and stroke have also decreased in most countries, but hospital discharge rates for CVD have increased in the majority of European countries. The paper emphasizes the need for continued monitoring and reporting of risk factors and outcomes for CVD to achieve the global target of reducing mortality from non-communicable diseases (NCDs) by 25% by 2025.This paper provides an updated overview of the burden of cardiovascular disease (CVD), particularly coronary heart disease (CHD) and stroke, in Europe for 2014. CVD remains the leading cause of death in Europe, accounting for over 4 million deaths annually, nearly half of all deaths in the region. Despite recent decreases in mortality rates in many countries, CVD still causes more than twice as many deaths as cancer in many European countries. The paper highlights significant inequalities in CVD mortality and morbidity between countries, with some Eastern European countries, such as Russia and Ukraine, showing higher mortality rates for CHD among 55-60 year olds compared to France for people 20 years older. The trends in mortality rates have varied widely, with some countries experiencing substantial reductions while others have seen increases. Case-fatality rates after acute myocardial infarction (AMI) and stroke have also decreased in most countries, but hospital discharge rates for CVD have increased in the majority of European countries. The paper emphasizes the need for continued monitoring and reporting of risk factors and outcomes for CVD to achieve the global target of reducing mortality from non-communicable diseases (NCDs) by 25% by 2025.