Norway (Rattus norvegicus) and black rats (Rattus rattus) are common commensal pests, yet little is known about the ecology of wild rats, including their natural diseases. We describe microscopic cardiovascular pathology in a subset of a sample of 725 wild urban rats. Changes observed in the pulmonary blood vessels (n ¼ 199) included arteriolar medial hypertrophy (20.1%, n ¼ 40) and blood vessel mineralization (19.1%, n ¼ 38). Microscopic changes in the heart (n ¼ 200) included myocarditis (33.5%, n ¼ 67), fibrosis (6.0%, n ¼ 12), mineralization (9.5%, n ¼ 19), myocardial degeneration (22.0%, n ¼ 44), and right ventricular hypertrophy (4.5%, n ¼ 9). Rats with myocarditis, fibrosis, or myocardial degeneration were grouped into a composite variable: cardiomyopathy. Statistical analysis showed that the odds of being affected by cardiomyopathy were greater in male rats (odds ratio [OR] ¼ 2.49; 95% confidence interval [CI] ¼ 1.12-5.55) and heavier rats (OR ¼ 1.14; 95% CI ¼ 1.09-1.20). The odds of pulmonary arteriolar medial hypertrophy was greater in sexually mature rats (OR ¼ 2.35; 95% CI ¼ 0.75-7.36), while the odds of pulmonary vessel mineralization were greater in heavier rats (OR ¼ 1.07; 95% CI ¼ 1.03-1.11) and in black rats (OR ¼ 5.35; 95% CI ¼ 1.62-17.69) compared to Norway rats. To our knowledge, this is the first detailed description of pathology in the cardiovascular system of wild rats and demonstrates that cardiovascular disease is common. The impact of these lesions on individual and population health remains to be investigated. Keywords animals, cardiovascular diseases, disease, heart, pathology, pulmonary artery, rats, Rattus norvegicus, Rattus rattus, wild Norway and black rats (Rattus norvegicus and Rattus rattus) are among the most abundant and widespread mammalian species, inhabiting all continents except Antarctica.9 These rats are especially well adapted to living in close proximity to humans, making use of human harborage, refuse, and agricultural crops.9 This adaptation has resulted in a number of negative consequences for people, ranging from economic losses through food consumption to health risks associated with the transmission of zoonotic diseases.9,14 Despite humankind's long-standing association with Norway and black rats, there is still a number of significant gaps in our understanding of the ecology of these species. Perhaps the most notable gap is related to causes of natural morbidity and mortality.The life span of wild urban rats is short, with few individuals living beyond 1 year. 9 In contrast, the expected life span of laboratory rats ranges from 2 to 3 years. 22 The reason for this rapid population turnover in wild rats is unclear. Research has shown that predation does not significantly reduce population size.9 Similarly, long-term population effects of rat control activities, such as trapping and poisoning, are limited because of these rodents' high fecundity rates.9 Additionally, competition for food, habitat, and other resources has been suggested as a cause of rat m...