Certain bacterial and viral infectious agents may play a role in the activation of inflammation in atherosclerosis lesions. Epidemiological studies indicate that infectious agents may predispose patients to atherosclerosis as Infections have been associated with an increased risk of this disease. Moreover, a positive antibody status has been detected against some infectious organisms associated with atherosclerotic rupture. Infectious agents found in human atheroma, which may directly cause or accelerate atherosclerosis , include many pathogens but the present study focused on Helicobacter pylori, hepatitis B virus surface antigen and C. In order to evaluate the possible association between H. pylori, HBV, and HCV infections and the risk of atherosclerosis. Biochemical markers and acute inflammatory factors that may be involved in atherosclerosis disease were investigated in relation to microbial infections and atheroma formation in Iraqi patients. The present study shows a significant increase in H. pylori IgG antibody concentrations in the sera of the patients (2.941±1.350) [U/L] compared to the controls( 1.962±0.873 ) [U/L] and thus provides evidence that H. pylori infection is a risk factor for atherosclerosis. Furthermore patients with positive family history of atherosclerosis were significantly more likely to be positive for H. pylori IgG antibodies 86.3%. While hepatitis B virus infection is not associated with atherosclerosis in our Iraqi patients, there was a significant positive correlation between HBV infection and both the levels of the inflammatory protien ceruloplasmin and family history of atherosclerosis indicating that the HBV association needs further study . No subject was found to be positive for anti-HCV antibodies.