Environmental noise has been linked to a number of health effects including annoyance, sleep disturbance and cardiovascular diseases (CVD). In this seminar, we will present the current evidence on the association between environmental noise and onset of CVD. We will also present preliminary assessments of associations between noise and CVD in Quebec. These assessments are based on population cohorts created with linked medico-administrative health data and recent noise models. We will also present gaps that remain on the relationship between environmental noise and the onset of CVD.