Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp eperfusion therapy by primary percutaneous coronary intervention or thrombolysis is the most effective strategy to reduce mortality and improve the clinical outcome in acute myocardial infarction (AMI). However, reperfusion itself is associated with a risk of lethal ventricular arrhythmias. In fact, reperfusion-induced arrhythmias were identified in 30% of patients with successful reperfusion by thrombolysis. 1 Furthermore, in the majority of cases, successful restoration of coronary flow by primary angioplasty is accompanied by reperfusion-induced arrhythmias, including bradyarrhythmias, ventricular premature contractions (VPC), ventricular tachycardia (VT) and ventricular fibrillation (VF). 2 VT and VF by spontaneous recanalization are especially critical and underlie many cases of sudden cardiac death before hospital arrival. In a previous study of 12 patients who developed VF before the arrival of the ambulance, only one patient was discharged alive. 3 The 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are attracting much attention because of their putative pleiotropic effects. We have reported that administration of atorvastatin in the early phase of an AMI improves cardiac function and attenuates B-type natriuretic peptide increase, and these effects were assumed to be independent of the drug's lipid-lowering effect. 4 Consistently, other reports have shown that early statin treatment for AMI patients decreases the risk of congestive heart failure and long-term mortality. 5,6 Several large clinical trials have also shown that statins reduce sudden cardiac death in patients with coronary