The predictive current control method of permanent magnet synchronous motor has the advantages of fast dynamic response and easy digital implementation, so more attention has been paid to it. When the motor operates in a high-speed condition, the switching frequency is relatively low, the carrier ratio is low, and the rotor angle varies greatly within a control cycle, resulting in a large error in the traditional liner approximation prediction model and inaccuracy of the voltage control quantity calculation, which leads to the deterioration of the predictive current control effect. At the same time, the output harmonic of the three-phase current increases, which affects the stable operation of the motor. In this paper, we study the causes of the large errors in the prediction model based on the traditional linear approximation and phase current fluctuation of the permanent magnet synchronous motor under high speed and low carrier-ratio conditions. Based on the improvement of the prediction model and modulation, a new control strategy of variable switching frequency deadbeat predictive current control is proposed. The control method proposed in this paper improves the dynamic and steady-state performance of the motor, under the condition that the carrier ratio does not increase and reduces the fluctuation of the output current of the motor. Finally, the effectiveness and superiority of the proposed method are verified by an experiment.