In conclusion, while air pollution may not directly trigger a heart attack, it plays a significant role in increasing the risk of heart attacks, especially in individuals with pre-existing cardiovascular conditions. Reducing exposure to air pollution through cleaner energy sources, better urban planning, and personal precautions is essential for protecting heart health and overall well-being. Further research is needed to fully understand the intricate mechanisms linking air pollution and heart attacks, but the evidence so far underscores the importance of addressing this public health issue.(Author: Dr. Vishal Rastogi, Director - Interventional Cardiology and Head of Advanced Heart Failure Program, Fortis Escorts Heart Institute, Okhla Road, New Delhi)