Over the last 10 years, China has made major progress in improving healthcare systems and rolling out policies to prevent cardiovascular disease. Yet heart disease still causes a large share of illness and death, showing that prevention goals have not been fully met. Zhao and colleagues show how artificial intelligence and digital health tools could help narrow this gap. They describe how AI can improve early detection, guide lifestyle changes, and make healthcare delivery more efficient. However, they note that technology alone cannot fix these inequalities. Uneven healthcare access, limited awareness, and gaps in data quality remain key obstacles. The authors show the need for combining AI innovation with strong policy, fair data use, and collaboration between hospitals and public agencies.