Abstract: Objective To predict the 10-year risk of having an ischemic cardiovascular disease (ICVD) in army pilots. Methods Clinical data about 466 army pilots were analyzed using “the Risk Assessment Tool for Estimating 10-year Risk of Having an ischemic cardiovascular disease” to assess their 10-year risk of ICVD.Results The prevalence rate of overweight and obesity, hypercholesterolemia, diabetes mellitus, smoking, hypertension were 66.5%, 25.1%, 1.9%, 48.5% and 5.6% respectively; And the absolute 10-year risk of ICVD in pilots was 1.22%±0.96%, with 5 cases (1.1%) had a 10-year absolute risk of ICVD≤10% (low risk) and the other 461 cases (98.9%) had a 10-year absolute risk ≤5% (extremely low-risk); Compared to norm of Chinese people, 150 cases (32.3%) had higher risk than average risk of the same age, 408 cases (87.6%) had higher risk than the lowest risk of the same age. The ratios of higher 10-year relative risk of ICVD had signifcant differences between age groups (P< 0.05). Conclusion The 10-year ICVD risk of army pilots is higher than that of the norm of Chinese people. Overweight and obesity, smoking, hypercholesterolemia are the main reasons. Cardiovascular health status of army pilots is serious and more health education and monitoring are needed.