In this study, the large-scale circulation patterns (a blocking high, wave trains and the western Pacific subtropical high (WPSH)) associated with a wide ranging and highly intense long-lived heatwave in China during the summer of 2018 are examined using both observational data and reanalysis data. Four hot periods are extracted from the heatwave and these are related to anticyclones (hereafter referred to as heatwave anticyclone) over the hot region. Further analysis shows a relationship between the heatwave anticyclone and a synthesis of low, mid- and high latitude circulation systems. In the mid-high latitudes, a midlatitude wave train and a high latitude wave train are associated with a relay process which maintains the heatwave anticyclone. The midlatitude wave train acts during 16–21 July, whereas the high latitude wave train takes affect during 22–28 July. The transition between the two wave trains leads to the northward movement of the hot region. With the help of a wave flux analysis, it was found that both wave trains originate from the positive North Atlantic Oscillation (NAO+) which acts as an Atlantic wave source. Serving as a circulation background, the blocking situated over the Scandinavia-Ural sector is maintained for 18 days from 14 to 15 August, which is accompanied by the persistent wave trains and the heatwave anticyclone. Additionally, the abnormal northward movement of the WPSH and its combination with the high latitude wave train lead to the occurrence of extreme hot weather in north-eastern China occurring during the summer of 2018.