A heavy duty pneumatic tire includes a tread portion provided with at least three circumferential main grooves, and a plurality of lateral grooves extending between adjacent main grooves or between one main groove and a tread edge, to form at least one block row comprising a plurality of blocks. The block row comprises a plurality of pitch elements each of which consists of circumferentially adjacent one lateral groove and one block. The tread portion has a land ratio in a range of from 70% to 80%. The block row comprises a number of pitch elements in a range of from 40 to 50, and each lateral groove has a groove width in a range of from 5% to 15% in relation to a circumferential length of the block in each pitch element.