Cardiovascular metabolic disease (CMD) is a global public health issue that seriously threatens human health. Basal metabolic rate(BMR), a key indicator reflecting the body's metabolic state, has drawn significant attention regarding its correlation with cardiovascular metabolic diseases. Relevant studies have revealed the potential role of the basal metabolic rate in the progression of cardiovascular metabolic diseases such as coronary heart disease, hypertension, and diabetes. However, current research still has limitations in many aspects and faces numerous challenges. The accurate measurement of the basal metabolic rate is interfered by multiple factors. The underlying mechanisms of the correlation between them remain incompletely understood, and the interactions of multiple complex factors involving neuroendocrine, cellular metabolism, inflammatory pathways, etc., await further investigation. This article systematically summarizes and analyzes the correlation between the basal metabolic rate and cardiovascular metabolic diseases such as coronary heart disease, hypertension, diabetes, and obesity, and deeply analyzes the current research progress, aiming to provide a reference for further research on the translational applications of the two in diagnosis and treatment, and to contribute to the early prevention, treatment, and management of diseases.