Objective To investigate the level of health literacy and revascularization decision conflict among patients with stable coronary artery disease, and to explore the impact of health literacy on revascularization decision conflict. Methods A total of 341 patients with stable coronary artery disease were investigated using the chronic diseases health literacy scale and decision conflict scale. Results The total score of health literacy among the patients was (90.97±17.18), and 191 (56.01%) patients were adequate for health literacy; the total decision conflict score was 23.44 (18.75, 42.19), and 175 (51.32%) patients were effective for decision-making. Logistic regression analysis showed that, age, educational background, number of complications and health literacy were the major influencing factors of decision conflict in patients with stable coronary heart disease (P<0.05, P<0.01). Conclusion The level of health literacy and revascularization decision conflict among patients with stable coronary artery disease needs to be improved. It is necessary to take measures to improve patients′ health literacy, so as to reduce their decision conflict.