Objective: Investigating the protective effect and mechanisms of downregulating miR-223 expression on the myocardium of mice with septic cardiomyopathy (SCM). Methods: Using a random number table, 27 male SPF C57BL/6 mice aged 8-10 weeks were allocated into different groups: SCM model groups at different time points (0 h, 6 h, 12 h, 18 h, 24 h), Normal group, SCM group, miR-223 antagomir NC group, and miR-223 antagomir group, with 3 mice in each group. The SCM mouse model was established by intraperitoneal injection of lipopolysaccharide (LPS) at a dose of 15 mg/kg. The miR-223 antagomir NC group and miR-223 antagomir group received consecutive tail vein injections of miR-223 antagomir NC and miR-223 antagomir, respectively, for 3 days before modeling. Reverse transcription-polymerase chain reaction (RT-PCR) was used to study the expression of miR-223 in the myocardial tissue of mice in different time point groups of the SCM model. Hematoxylin-eosin (HE) staining was performed to observe the myocardial pathological changes in the Normal group, SCM group, miR-223 antagomir NC group, and miR-223 antagomir group. Enzyme-linked immunosorbent assay (ELISA) was used to measure the levels of cTnI, BNP, CK-MB, IL-6, IL-1β, and TNF-α in mouse serum in the Normal group, SCM group, miR-223 antagomir NC group, and miR-223 antagomir group, and correlation analysis was conducted. Results: In the SCM model groups at different time points, the expression level of miR-223 in the myocardial tissue gradually increased with the extension of stimulation time. Compared to the Normal group, mice in the SCM group, miR-223 antagomir NC group, and miR-223 antagomir group exhibited varying degrees of myocardial damage. The expression levels of cardiac injury markers cTnI, BNP, CK-MB, and inflammatory factors IL-6, IL-1β, and TNF-α in serum were elevated, and the differences were statistically significant (P<0.05). When compared to the SCM group, there were no significant differences in various indicators between the miR-223 antagomir NC group (P>0.05). In the miR-223 antagomir group, the degree of pathological damage in the myocardial tissue was reduced, and the levels of cardiac injury markers cTnI, BNP, CK-MB, and inflammatory factors IL-6, IL-1β, and TNF-α decreased, with statistically significant differences (P<0.05). The results of correlation analysis showed that the expression of miR-223 in mice was positively correlated with the expression of cardiac injury markers cTnI, BNP, CK-MB, and inflammatory factors IL-6, IL-1β, and TNF-α. Conclusion: Downregulation of miR-223 expression can provide protection to the myocardium of SCM mice by alleviating the inflammatory response. [ABSTRACT FROM AUTHOR]