Heart disease remains a leading cause of mortality worldwide, necessitating improved methods for early detection and risk assessment. This paper reviews and analyzes the application of machine learning techniques in heart disease prediction, focusing on five primary algorithms: Naïve Bayes, k-Nearest Neighbor (KNN), Decision Tree, Artificial Neural Network (ANN), and Random Forest. By examining existing studies and datasets, we evaluate the effectiveness of these algorithms in predicting heart disease risk. Our analysis demonstrates that machine learning models can significantly enhance the accuracy and efficiency of heart disease prediction compared to traditional diagnostic methods. The Random Forest algorithm exhibited the highest overall performance, with studies reporting accuracy rates up to 95% in identifying potential heart disease cases. This review highlights the potential of machine learning in revolutionizing cardiovascular healthcare by enabling more personalized risk assessments and facilitating early intervention strategies. The integration of these advanced predictive models into clinical practice could substantially improve patient outcomes and reduce the global burden of heart disease. Keywords: Cardiovascular Risk Prediction, Machine Learning Algorithms, Electronic Health Records, Random Forest, Artificial Neural Networks, Feature Importance, Clinical Decision Support, Personalized Medicine, Predictive Analytics in Healthcare, Early Disease Detection.