ischemic post-conditioning (iPo) and diazoxide post-conditioning (dPo) has been proven to reduce myocardial ischemia reperfusion injury (Miri); however, the mechanisms of iPo/dPo are still not clear. The present study aimed to investigate whether mitochondrial aTP-sensitive potassium channels (mitoK aTP) channels are activated by iPo/dPo, which may further activate the hypoxia inducible factor 1/hypoxic response element (HiF-1/Hre) pathway to mitigate Miri. using a langendorff perfusion device, healthy male (250-300 g) Sprague dawley rat hearts were randomly divided into the following groups. Group n was aerobically perfused with K-H solution for 120 min. Group ischaemia/reperfusion (i/r) was aerobically perfused for 20 min, then subjected to 40 min hypoxia plus 60 min reperfusion. Group iPo was treated like the i/r group, but with 10 sec of hypoxia plus 10 sec of reperfusion for six rounds before reperfusion. Group dPo was exposed to 50 µM diazoxide for 5 min before reperfusion and otherwise treated the same as group i/r. in groups iPo+5-hydroxydecanoic acid (5Hd), dPo+5Hd and i/r+5Hd, exposure to 100 µM 5Hd (a mitoK aTP channel specific blocker) for 5 min before reperfusion as described for groups iPo, dPo and i/r, respectively. in groups iPo+2-methoxyestradiol (2Me2), dPo+2Me2 and i/r+2Me2, exposure to 2 µM 2Me2 (a HiF-1α specific blocker) for 10 min before reperfusion as described for groups iPo, dPo and i/r respectively. cardiac hemodynamics, myocardial injury and the expression of HiF-1/Hre pathway [HiF-1α, heme oxygenase (Ho-1), inducible nitric oxide synthase (inoS) and vascular endothelial growth factor (VeGF)] were detected in each group. The infarct size and mitochondrial Flameng scores of groups IPO/DPO were significantly decreased compared with the i/r group (P<0.05), but the myocardial protective effects of iPo/dPo could be eliminated by 5Hd or 2Me2 (P<0.05). in addition, iPo/dPo could increase the mrna expression of HiF-1α and the downstream factors of the HiF-1/Hre pathway (the mrna and protein expression of Ho-1, inoS and VeGF; P<0.05). However, the myocardial protective effects and the activation the HiF-1/Hre pathway mediated by iPo/dPo could be eliminated by 5Hd or 2Me2 (P<0.05). Therefore, the activation of the HiF-1/Hre pathway by opening mitoK aTP channels may work with the mechanism of iPo/dPo in reducing Miri.