Background: Acute myocardial infarction (AMI) has become the main cause of incidence rate and mortality worldwide. More and more evidences indicate that abnormally expressed microRNAs (miRNAs) are involved in the pathogenesis of AMI. However, comprehensive studies on miRNA-mRNA regulatory networks in AMI plasma are still lacking.Results: In the above three datasets, a total of 5 DEMs with downregulated expression were screened. Sp1 and EGR1 may regulate most down regulated DEM. 1074 downstream target genes were predicted. The predicted target genes of DEM were mainly enriched in PI3K/Akt signal pathway, mTOR signal pathway, Hippo signal pathway, AMPK signal pathway and HIF-1 signal pathway. By constructing DEM-hub gene network, it was found that most hub genes may be regulated by miR-142-3p, miR-375 and miR-190b. Among the top 10 hub genes, the expression of STAT3 and PTEN was consistent with that in GSE66360 dataset.Conclusion: This study constructed a potential miRNA-mRNA regulatory network in the blood of AMI for the first time, which provides a new perspective for the Pathogenesis and treatment of AMI.