Abstract-Impulse propagation in cardiac tissue is a complex process in which intercellular coupling through gap junction channels is a critical component. Connexin40 (Cx40) is an abundant gap junction protein that is expressed in atrial myocytes. Alterations in the expression of Cx40 have been implicated in atrial arrhythmogenesis. The purpose of the current study was to assess the role of Cx40 in atrial impulse propagation. High-resolution optical mapping was used to study conduction in the right and left atrial appendages of isolated Langendorff-perfused murine hearts. Wild-type (Cx40 ϩ/ϩ ), heterozygous (Cx40 ϩ/Ϫ ), and knockout (Cx40 Ϫ/Ϫ ) mice, both adult and embryonic, were studied to assess the effects of reduced Cx40 expression on sinus node function and conduction velocity at different pacing cycle lengths (100 and 60 ms). In both adult and late-stage embryonic Cx40 ϩ/ϩ mice, heterogeneity in CV was found between the right and left atrial appendages. Either partial (Cx40 ϩ/Ϫ ) or complete (Cx40 Ϫ/Ϫ ) deletion of Cx40 was associated with the loss of conduction heterogeneity in both adult and embryonic mice. Additionally, sinus node impulse initiation was found to be ectopic in Cx40 Ϫ/Ϫ mice at 15.5 days postcoitus, whereas Cx40 ϩ/ϩ mice showed normal activation occurring near the crista terminalis. Our findings suggest that Cx40 plays an essential role in establishing interatrial conduction velocity heterogeneity in the murine model. Additionally, we describe for the first time a developmental requirement for Cx40 in normal sinus node impulse initiation at 15. Key Words: arrhythmia Ⅲ conduction velocity Ⅲ Cx40 Ⅲ optical mapping Ⅲ sinus node C ardiac myocytes are connected electrically and metabolically through gap junction channels. 1 A complete channel is composed of 2 opposing hexameric structures or connexons, each consisting of 6 protein subunits called connexins. 2 At least 3 connexins are expressed in cardiac myocytes: connexin40 (Cx40), connexin43 (Cx43), and connexin45 (Cx45), each forming channels with unique electrophysiological and biophysical properties. 3,4 Within the adult heart, connexin isoforms have distinct patterns of expression, which are generally well preserved among different species. Cx40 is expressed predominantly in atrial myocytes and in the ventricular conduction system; Cx43 is expressed in both atrial and ventricular myocytes; Cx45 is expressed mainly in the sinoatrial node, anteroventral node, and in the ventricular conduction system, with lower levels reported in the atrial myocardium.Alterations in the expression of connexin proteins have been described in a variety of pathological conditions in both animal 5 and human models. 6,7 However, most studies that have investigated the importance of connexins have focused on ventricular conduction, whereas relatively few studies are available directly addressing their role in mediating atrial impulse initiation and propagation. Studies investigating the role of Cx40 in atrial arrhythmogenesis have found highly variable levels of...