This review examines the racial and socioeconomic determinants of cardiovascular health, highlighting significant disparities in cardiovascular risk factors and outcomes among different racial and ethnic groups. It emphasizes the role of socioeconomic status (SES) in influencing cardiovascular health, including factors such as education, income, employment, and living conditions. Non-Hispanic Black and Hispanic populations exhibit higher rates of hypertension, obesity, diabetes, and smoking, along with systemic barriers linked to lower SES, which worsen cardiovascular outcomes. These barriers include limited education, lower income, higher unemployment, and poor living conditions. Additionally, these groups face higher rates of food and housing insecurity and lack of adequate insurance coverage, contributing to poorer health outcomes. Mental health disorders, such as depression and anxiety, are also more prevalent in these populations, further compounding cardiovascular risks. The review also discusses the impact of neighborhood environments on cardiovascular health, noting that disadvantaged neighborhoods are associated with higher incidence of coronary heart disease. Socioeconomic factors such as air pollution and environmental conditions play a role in cardiovascular outcomes. Food insecurity is strongly correlated with the prevalence of cardiovascular disease and its risk factors, often leading to poor diet, metabolic issues, and psychological distress. Housing insecurity can also lead to psychological distress, sleep deprivation, and increased exposure to smoke, all of which elevate cardiovascular risk. Uninsured individuals face challenges in accessing healthcare and receive lower quality care, leading to poorer health outcomes. Mental health is closely linked to cardiovascular health, with mental health disorders increasing the risk of developing cardiovascular disease. Racial disparities in mental health prevalence are significant, with depression being more common among Black and Hispanic individuals. These disparities are compounded by limited access to mental health services due to cultural barriers and a lack of culturally competent care. The review underscores the need for targeted interventions and policy reforms to address the biological and socioeconomic factors contributing to cardiovascular disparities. Integrating comprehensive socioeconomic data into cardiovascular health strategies is crucial for developing effective public health initiatives. By focusing on these areas, it is possible to create interventions that meet the needs of diverse communities and reduce cardiovascular morbidity and mortality.This review examines the racial and socioeconomic determinants of cardiovascular health, highlighting significant disparities in cardiovascular risk factors and outcomes among different racial and ethnic groups. It emphasizes the role of socioeconomic status (SES) in influencing cardiovascular health, including factors such as education, income, employment, and living conditions. Non-Hispanic Black and Hispanic populations exhibit higher rates of hypertension, obesity, diabetes, and smoking, along with systemic barriers linked to lower SES, which worsen cardiovascular outcomes. These barriers include limited education, lower income, higher unemployment, and poor living conditions. Additionally, these groups face higher rates of food and housing insecurity and lack of adequate insurance coverage, contributing to poorer health outcomes. Mental health disorders, such as depression and anxiety, are also more prevalent in these populations, further compounding cardiovascular risks. The review also discusses the impact of neighborhood environments on cardiovascular health, noting that disadvantaged neighborhoods are associated with higher incidence of coronary heart disease. Socioeconomic factors such as air pollution and environmental conditions play a role in cardiovascular outcomes. Food insecurity is strongly correlated with the prevalence of cardiovascular disease and its risk factors, often leading to poor diet, metabolic issues, and psychological distress. Housing insecurity can also lead to psychological distress, sleep deprivation, and increased exposure to smoke, all of which elevate cardiovascular risk. Uninsured individuals face challenges in accessing healthcare and receive lower quality care, leading to poorer health outcomes. Mental health is closely linked to cardiovascular health, with mental health disorders increasing the risk of developing cardiovascular disease. Racial disparities in mental health prevalence are significant, with depression being more common among Black and Hispanic individuals. These disparities are compounded by limited access to mental health services due to cultural barriers and a lack of culturally competent care. The review underscores the need for targeted interventions and policy reforms to address the biological and socioeconomic factors contributing to cardiovascular disparities. Integrating comprehensive socioeconomic data into cardiovascular health strategies is crucial for developing effective public health initiatives. By focusing on these areas, it is possible to create interventions that meet the needs of diverse communities and reduce cardiovascular morbidity and mortality.