-Ventricular tachyarrhythmias are the most common cause of sudden cardiac death (SCD); a healed myocardial infarction increases the risk of SCD. We determined the contribution of specific repolarization abnormalities to ventricular tachyarrhythmias in a postinfarction model of SCD. For our methods, we used a postinfarction canine model of SCD, where an exercise and ischemia test was used to stratify animals as either susceptible (VF ϩ ) or resistant (VF Ϫ ) to sustained ventricular tachyarrhythmias. Our results show no changes in global left ventricular contractility or volumes occurred after infarction. At 8 -10 wk postmyocardial infarction, myocytes were isolated from the left ventricular midmyocardial wall and studied. In the VF ϩ animals, myocyte action potential (AP) prolongation occurred at 50 and 90% repolarization (P Ͻ 0.05) and was associated with increased variability of AP duration and afterdepolarizations. Multiple repolarizing K ϩ currents (IKr, Ito) and inward IK1 were also reduced (P Ͻ 0.05) in myocytes from VF ϩ animals compared with control, noninfarcted dogs. In contrast, only Ito was reduced in VF Ϫ myocytes compared with controls (P Ͻ 0.05). While afterdepolarizations were not elicited at baseline in myocytes from VF Ϫ animals, afterdepolarizations were consistently elicited after the addition of an I Kr blocker. In conclusion, the loss of repolarization reserve via reductions in multiple repolarizing currents in the VF ϩ myocytes leads to AP prolongation, repolarization instability, and afterdepolarizations in myocytes from animals susceptible to SCD. These abnormalities may provide a substrate for initiation of postmyocardial infarction ventricular tachyarrhythmias. potassium currents; repolarization reserve; myocardial infarction SUDDEN CARDIAC DEATH (SCD) is a major cause of cardiovascular mortality in the United States, accounting for ϳ500,000 deaths annually. Ambulatory ECG recordings have established that the vast majority (Ͼ80%) of these deaths result from tachyarrhythmias that culminate in ventricular fibrillation (VF; Refs. 1,5,19,21). Post mortem examinations indicate that scar tissue due to a previous myocardial infarction (MI) is present in approximately one-third of SCD subjects (51). It has been estimated that up to 80% of SCD results from myocardial ischemia or its sequelae (40).Ventricular arrhythmias often occur when there is an underlying electrophysiolgical substrate; alterations in repolarizing potassium currents are known to contribute to arrhythmogenesis (32). Specifically, alterations in inward rectifier K ϩ current (I K1 ), and the repolarizing K ϩ currents: transient outward current (I to ) and/or the delayed rectifier K ϩ currents (I Kr and I Ks ), are arrhythmogenic. The specific abnormalities in repolarization that predispose to arrhythmias in the setting of a healed MI have not been well defined. Numerous studies (13,34,35) have identified electrophysiological abnormalities in the hours to days after MI in canine models. At 5 and 14 days postinfarction, there is ...