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It was reported that more than 95% arrhythmias complicated with acute myocardial infarction (AMI) occurred within the first 24 hours of AMI onset, and emergency percutaneous coronary intervention (PCI) has been worldwide applied to realize reperfusion.1 But how to deal with tachyarrhythmia induced by ischemia and reperfusion around emergency PCI procedure, has become one of the focus during peri-PCI stage. It has been reported that anti-tachycardia pacing (ATP) termination of post AMI tachyarrhythmia by implantation of cardioverter-defibrillator (ICD) or other model of pacemaker had ideal result.2,3 But the studies on the effect of ATP therapy for tachyarrhythmia during emergency PCI procedure were rarely reported. In this study, the effect and the safety of ATP therapy for 115 patients with tachyarrhythmia during emergency PCI procedure by implantation of temporary pacing catheter were reported.