Background: Lipid emulsion (LE) is effective in treating intractable cardiac depression induced by the toxicity of highly lipid-soluble drugs including local anesthetics. However, the effect of LE on chloroquine-evoked cardiac toxicity remains unclear. This study aimed to examine the effect of Lipofundin MCT/LCT, an LE, on the cardiotoxicity caused by chloroquine in H9c2 rat cardiomyoblasts and elucidate the underlying cellular mechanism. Methods: The effects of chloroquine (1 × 10 -4 M), LE, and the reactive oxygen species (ROS) scavengers mitotempo and N-acetyl-L-cysteine (NAC), alone or combined, on cell viability and migration, apoptosis, ROS production, calcium levels, mitochondrial membrane potential, and adenosine triphosphate (ATP) were examined. Additionally, the effects of LE on the activities of catalase (CAT), malondialdehyde (MDA), and superoxide dismutase (SOD) induced by chloroquine were assessed. Results: Pretreatment with LE, mitotempo, or NAC reversed the reduction in cell migration and viability, mitochondrial membrane potential, and ATP levels evoked by chloroquine, and inhibited the increase in cleaved caspase-3, ROS, and calcium concentration induced by chloroquine. LE inhibited the increase in Bax expression, TUNEL-positive cells, MDA activity, and late apoptosis, and reversed the reduction in SOD and CAT activity induced by chloroquine. Chloroquine did not significantly affect cleaved caspase-8 expression, and LE did not significantly affect chloroquine concentration.Conclusion: Collectively, these results suggest that LE with 50% long-chain and 50% mediumchain fatty acids inhibits the cardiotoxicity and late apoptosis induced by chloroquine toxicity via the intrinsic mitochondrial apoptotic pathway, which is associated with direct inhibition of ROS production.