The article explores the ethical considerations and opportunities in applying artificial intelligence (AI) to cardiovascular medicine. It highlights the potential of AI to revolutionize clinical practice through assistive and autonomous operations, particularly in the context of the high prevalence of cardiac diseases. Key ethical challenges include data privacy, consent, sustainability, and cybersecurity. The authors emphasize the need for robust regulation, transparent algorithms, and patient privacy protection. They also discuss future opportunities, such as AI's role in improving patient outcomes, enhancing diagnostic capabilities, and reducing administrative burdens. The article concludes by advocating for AI-specific legislation and public education to ensure ethical standards and patient trust in AI-enhanced healthcare.The article explores the ethical considerations and opportunities in applying artificial intelligence (AI) to cardiovascular medicine. It highlights the potential of AI to revolutionize clinical practice through assistive and autonomous operations, particularly in the context of the high prevalence of cardiac diseases. Key ethical challenges include data privacy, consent, sustainability, and cybersecurity. The authors emphasize the need for robust regulation, transparent algorithms, and patient privacy protection. They also discuss future opportunities, such as AI's role in improving patient outcomes, enhancing diagnostic capabilities, and reducing administrative burdens. The article concludes by advocating for AI-specific legislation and public education to ensure ethical standards and patient trust in AI-enhanced healthcare.