Frequent and extreme heat waves have strongly influenced the sustainable development of cities and resulted in a higher level of mortality in residents. Using the Local Climate Zone (LCZ) classification scheme, combined with the factors of land surface temperature (LST), building age (BA), and housing price (HP), and the normalized values of which represent heat exposure, sensitivity, and adaptability, respectively, this paper investigates a practical method for assessing the heat vulnerability of different LCZ classes in the old areas of a Chinese megacity, taking the Yuzhong district of Chongqing city as a case study. The results reveal that the distribution of LCZ classes in this study area exhibits a typical circle-layer distribution pattern from the city center to the suburbs. Heavy industry areas are the most vulnerable, with the highest exposure to heat waves, the oldest building age and the lowest housing price. Compact class areas (compact high-rise, compact mid-rise and compact low-rise) are usually more vulnerable than open class areas (open high-rise, open mid-rise, and open low-rise) and low-rise buildings are always more susceptible to heat waves than mid-rise and high-rise buildings. The methods and findings can help us to better understand the comprehensive and space-time action rules of heat vulnerability, thereby inspiring scientific and rational urban planning strategies to mitigate or adapt to urban heat weaves towards the sustainable development of cities and society.2 of 15 an extreme heat wave caused more than 70,000 deaths in Europe [13], and the extreme heat waves in the United States from 1999 to 2010 resulted in 7415 deaths, more than the total number of deaths from typhoons, floods, earthquakes and other disasters during the same period [14].Therefore, it is urgent to assess the vulnerability of areas subject to urban heat waves and provide corresponding mitigation or adaptation strategies based on it. This has become a hot topic in the study of healthy cities. Heat vulnerability refers to the degree of vulnerability or inability of urban residents to cope with the adverse effects of heat waves, and it is typically composed of three types of indicators: exposure, sensitivity and adaptability [15,16]. In this context, "exposure" refers to the proximity of the location of a group or individual to the hazards of heat waves, which reflect the characteristics, intensity and frequency of the heat waves suffered by urban residents [17]. The most widely used indicators for evaluating heat exposure include the urban thermal environment (e.g., air temperature, land surface temperature and urban heat island intensity) [18,19] and urban spatial parameters (e.g., sky view factor and impervious surface fraction) [20]. In this context, "sensitivity" refers to the degree to which urban residents change their physiological structure in the face of the external interference of extreme heat waves. Widely used evaluation indicators include the proportion of vulnerable groups, such as the elderly, infants ...