The word 'Hridaya' in Ayurveda is a synonym for heart in Modern medicine. The name itself indicates the function of this vital organ. Hridroga embodies a significant part of cardiovascular disease. Cardiovascular disease is one which is tremendously increasing in this era. Life style modifications like high caloric intake, alcohol consumption, smoking and stress are the risk factors for cardiovascular disease. Nidana plays important role in manifestation of disease hence Nidanaparivarjana is the first line of treatment for any disease. Hridaya being Moola of Rasavaha and Pranavaha Srotas, Dusthi of those also lead to Hridroga. As there are different sets of Nidanas being explained in classics there is a need for critical understanding hence the present write up is aimed to provide an insight into the concept of Nidanas based on classical references and allied modern literature. Ayurvedic treatment for cardiovascular diseases focuses on improving heart health, reducing inflammation, and preventing plaque buildup in the arteries. Dietary recommendations often include consuming a heart-healthy diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats like omega-3 fatty acids. Herbal remedies such as arjuna, guggul, and hawthorn may help support cardiovascular function and reduce cholesterol levels. Lifestyle modifications may include regular exercise, stress reduction techniques, quitting smoking, and maintaining a healthy weight.