Gout is a common disease caused by the deposition of sodium urate crystals in joints or other tissues, and its incidence and prevalence are increasing year by year. Hyperuricemia is the most important risk factor for gout. In recent years, many epidemiological and empirical studies have confirmed that gout is closely related to the occurrence and death of cardiovascular diseases such as hypertension, coronary heart disease and myocardial infarction. Dual-energy CT, as a new non-invasive imaging modality, can specifically and quantitatively display urate crystals, and has become an effective tool for the diagnosis of gout in recent years, and some studies have found its clinical value in the diagnosis of cardiovascular damage in gout. This review analyzes the complex correlation between gout and cardiovascular diseases, and the advantages and application value of dual-energy CT in the diagnosis of cardiovascular damage in gout.