Indian Journal of Public Health

: 2015  |  Volume : 59  |  Issue : 1  |  Page : 71-

Infectious agents and acute myocardial infarction

Sim Sai Tin1, Viroj Wiwanitkit2,  
1 Professor, Medical Center Unit, Medical Center, Shantou, China
2 Visiting Professor, Department of Tropical Medicine, Hainan Medical University, China

Correspondence Address:
Sim Sai Tin
Professor, Medical Center, Shantou

How to cite this article:
Tin SS, Wiwanitkit V. Infectious agents and acute myocardial infarction.Indian J Public Health 2015;59:71-71

How to cite this URL:
Tin SS, Wiwanitkit V. Infectious agents and acute myocardial infarction. Indian J Public Health [serial online] 2015 [cited 2023 Mar 23 ];59:71-71
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Full Text


We would like to discuss about the publication "Infectious agents and acute myocardial infarction." [1] Shrikhande et al. noted for "the role of infections in the etiology of acute myocardial infarction in study population." [1] In fact, the relationship between infections and acute myocardial infarction is a forgotten issue in medicine. According to a prospective study by Zhu et al., "infection plays an important role in incident myocardial infarction or death and the risk posed by infection is independently related to the pathogen burden." [2] However, there remained a question on the pathophysiological process that whether infection might lead to acute myocardial infarction. In the present report, [1] only Helicobacter pylori and Chlamydia pneumoniae were investigated. The role of these pathogens in the cardiopathogenic process still requires further study for clarification. Indeed, there are also other infections that might relate to acute myocardial infarction. The viral infection is a good example. To conclude, for investigating the role of infection, other specific infections should be evaluated. Also, to support the epidemiological finding, the pathogenic explanation must be sought. The Koch's postulation must be fulfilled for conclusion.


1Shrikhande SN, Zodpey SP, Negandhi H. A case-control study examining association between infectious agents and acute myocardial infarction. Indian J Public Health 2014;58:106-9.
2Prospective study of pathogen burden and risk of myocardial infarction or death. 2001;103:45-51.