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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
 O7n5fxNmP+4nvIzTUEvpFHwx6UPdS0LyFH8mwC8yZScSj0ruR1y9EN5AcY5AwrOX
 4oXG3jVMqzsg54xAVuk8Mw==

<SEC-DOCUMENT>0001238401-03-000003.txt : 20031031
<SEC-HEADER>0001238401-03-000003.hdr.sgml : 20031031
<ACCEPTANCE-DATETIME>20031031170743
ACCESSION NUMBER:		0001238401-03-000003
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031031
FILED AS OF DATE:		20031031

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			CV THERAPEUTICS INC
		CENTRAL INDEX KEY:			0000921506
		STANDARD INDUSTRIAL CLASSIFICATION:	BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
		IRS NUMBER:				431570294
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		3172 PORTER DR
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94304
		BUSINESS PHONE:		6503848500

	MAIL ADDRESS:	
		STREET 1:		3172 PORTER DRIVE
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94304

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			LANGE LOUIS G
		CENTRAL INDEX KEY:			0001238401

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-21643
		FILM NUMBER:		03970521

	BUSINESS ADDRESS:	
		STREET 1:		3172 PORTER DRIVE
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94034
		BUSINESS PHONE:		6503848500

	MAIL ADDRESS:	
		STREET 1:		3172 PORTER DRIVE
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94034
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>
    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType><periodOfReport>2003-10-31</periodOfReport>
    <issuer>
        <issuerCik>0000921506</issuerCik>
        <issuerName>CV THERAPEUTICS INC</issuerName>
        <issuerTradingSymbol>CVTX</issuerTradingSymbol></issuer><reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001238401</rptOwnerCik>
            <rptOwnerName>LANGE LOUIS G</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>CV THERAPEUTICS, INC.</rptOwnerStreet1>
            <rptOwnerStreet2>3172 PORTER DRIVE</rptOwnerStreet2>
            <rptOwnerCity>PALO ALTO</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94304</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
<isDirector>1</isDirector><isOfficer>1</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther><officerTitle>Chairman and CEO</officerTitle></reportingOwnerRelationship></reportingOwner><nonDerivativeTable><nonDerivativeTransaction><securityTitle><value>Common Stock, $0.001 par value (&quot;Common Stock&quot;)</value></securityTitle><transactionDate><value>2003-10-31</value></transactionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>M</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>5000</value></transactionShares><transactionPricePerShare><value>7.50</value></transactionPricePerShare><transactionAcquiredDisposedCode><value>A</value></transactionAcquiredDisposedCode></transactionAmounts><postTransactionAmounts><sharesOwnedFollowingTransaction><value>105184</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value><
/directOrIndirectOwnership><natureOfOwnership><value/></natureOfOwnership></ownershipNature></nonDerivativeTransaction><nonDerivativeHolding><securityTitle><value>Common Stock</value></securityTitle><postTransactionAmounts><sharesOwnedFollowingTransaction><value>471.2302</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>I</value></directOrIndirectOwnership><natureOfOwnership><value>by 401(k)</value></natureOfOwnership></ownershipNature></nonDerivativeHolding><nonDerivativeHolding><securityTitle><value>Common Stock</value></securityTitle><postTransactionAmounts><sharesOwnedFollowingTransaction><value>2500</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>I</value></directOrIndirectOwnership><natureOfOwnership><value>by persons in same household</value><footnoteId id="F1"/></natureOfOwnership></ownershipNature></nonDerivativeHolding><nonDerivativeHolding><securityTitle><value>Co
mmon Stock</value></securityTitle><postTransactionAmounts><sharesOwnedFollowingTransaction><value>7500</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>I</value></directOrIndirectOwnership><natureOfOwnership><value>by Trust</value><footnoteId id="F2"/></natureOfOwnership></ownershipNature></nonDerivativeHolding></nonDerivativeTable><derivativeTable><derivativeTransaction><securityTitle><value>Incentive Stock Option (right to buy)</value></securityTitle><conversionOrExercisePrice><value>7.50</value></conversionOrExercisePrice><transactionDate><value>2003-10-31</value></transactionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>M</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>5000</value></transactionShares><transactionPricePerShare><value>0</value></transactionPricePerShare><transactionAcquiredDisposedCode><value>D</value></trans
actionAcquiredDisposedCode></transactionAmounts><exerciseDate><value>1998-04-30</value><footnoteId id="F3"/></exerciseDate><expirationDate><value>2008-04-30</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>5000</value></underlyingSecurityShares></underlyingSecurity><postTransactionAmounts><sharesOwnedFollowingTransaction><value>0</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value/></natureOfOwnership></ownershipNature></derivativeTransaction></derivativeTable><footnotes><footnote id="F1">Shares held by (i) persons living in the same household as the Reporting Person and/or (ii) minors living in the same household as the Reporting Person.</footnote><footnote id="F2">Shares held by the Louis Lange Family Trust.    The Reporting Person disclaims beneficial ownership of these share
s except to the extent of his pecuniary interest therein.</footnote><footnote id="F3">24% of the option shares vested on 04/30/98.  The remaining shares vested at the rate of 2% of the shares subject to the option per month until the option was fully vested on 06/30/01.</footnote></footnotes><remarks/><ownerSignature><signatureName>Louis G. Lange, M.D., Ph.D.</signatureName><signatureDate>2003-10-31</signatureDate></ownerSignature></ownershipDocument>

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