This report presents a comprehensive needs assessment focusing on cardiovascular disease (CVD) health promotion within Aboriginal and Torres Strait Islander populations. It begins with an introduction highlighting the significant health disparities in life expectancy between Indigenous and non-Indigenous Australians, emphasizing the critical need for interventions. The report analyzes the health needs of the target population, including the high prevalence of ischemic heart failure, particularly among younger Indigenous Australians, and the associated risk factors. It examines health status, demographic and geographic distributions, social, environmental, and behavioral determinants, and the existing service needs. The assessment also explores workforce availability, efficiency, and effectiveness of current programs. Furthermore, it identifies opportunities, priorities, and options for improvement, culminating in specific recommendations for actions, such as recalibrating risk assessment tools and expanding access to healthcare. Stakeholder analysis is included to demonstrate the involvement of different groups. The report concludes by emphasizing the importance of funding and expanded programs to improve the quality of life for Aboriginal and Torres Strait Islanders.