Penyakit kardiovaskular merupakan penyebab utama kematian di Indonesia, termasuk di Provinsi DKI Jakarta, namun kajian tren mortalitas berbasis data surveilans rutin di tingkat provinsi masih terbatas. Penelitian ini bertujuan menggambarkan tren mortalitas akibat penyakit kardiovaskular di Provinsi DKI Jakarta tahun 2018, 2020, 2022, dan 2024 berdasarkan jenis penyakit, kelompok usia, jenis kelamin, dan wilayah administrasi. Desain studi potong lintang digunakan dengan data surveilans kematian Dinas Kesehatan Provinsi DKI Jakarta, mencakup 61.435 kasus kematian kardiovaskular (ICD-10: I10–I99) yang memenuhi kriteria inklusi dan eksklusi. Analisis univariat dilakukan menggunakan indikator Cause-Specific Death Rate (CSDR), Age-Specific Death Rate (ASDR), dan Sex-Specific Death Rate (SSDR) serta 95% (CI). Hasil menunjukkan pergeseran dominasi penyebab kematian dari Penyakit Serebrovaskular (CSDR 249,77 per 1.000.000 penduduk; 95% CI: 240,45–259,35) ke Gangguan Irama dan Konduksi Jantung yang meningkat dari CSDR 188,09 (95% CI: 180,01–196,43) pada 2018 menjadi 750,03 (95% CI: 733,96–766,36) pada 2024, dengan lonjakan tajam sejak fase pandemi akut. Kelompok lansia (≥60 tahun) menanggung beban kematian terbesar (62,1%–64,8%), dengan ASDR Gangguan Irama dan Konduksi Jantung mencapai 4.736,59 (95% CI: 4.607,69–4.868,18) per 1.000.000 lansia pada 2024. Laki-laki secara konsisten memiliki ASDR lebih tinggi dibanding perempuan pada seluruh periode studi. Jakarta Selatan mencatat CSDR tertinggi antarwilayah untuk kematian akibat Gangguan Irama dan Konduksi Jantung pada 2024 sebesar 1.210,13 (95% CI: 1.165,91–1.255,60) per 1.000.000 penduduk.

Cardiovascular disease is the leading cause of death in Indonesia, including in Jakarta Province, yet trend analyses using routine provincial mortality surveillance data remain scarce. This study aimed to describe cardiovascular disease mortality trends in Jakarta Province for 2018, 2020, 2022, and 2024 based on disease type, age group, sex, and administrative region. A cross-sectional design was employed using mortality surveillance data from the Jakarta Provincial Health Office, comprising 61,435 cardiovascular deaths (ICD-10: I10–I99) meeting the inclusion and exclusion criteria. Univariate analysis was conducted using the Cause-Specific Death Rate (CSDR), Age-Specific Death Rate (ASDR), Sex-Specific Death Rate (SSDR), and 95% confidence intervals (CI). Results showed a shift in dominant cause of death from Cerebrovascular Disease (CSDR 249.77 per 1,000,000 population; 95% CI: 240.45–259.35) to Cardiac Arrhythmia and Conduction Disorders, which increased from CSDR 188.09 (95% CI: 180.01–196.43) in 2018 to 750.03 (95% CI: 733.96–766.36) in 2024, with a sharp surge during the acute pandemic phase. The elderly (≥60 years) consistently bore the greatest mortality burden (62.1%–64.8%), with an ASDR for Cardiac Arrhythmia and Conduction Disorders of 4,736.59 (95% CI: 4,607.69–4,868.18) per 1,000,000 elderly in 2024. Males consistently exhibited higher ASDR than females throughout the entire study period. South Jakarta recorded the highest inter-district CSDR for deaths attributable to Cardiac Arrhythmia and Conduction Disorders in 2024, at 1,210.13 (95% CI: 1,165.91–1,255.60) per 1,000,000 population.