1 The inotropic effects of impromidine have been studied and compared with those of histamine on human isolated left ventricular preparations stimulated at I Hz. Both drugs caused concentrationrelated increases in force of contraction and were of similar potency, although the maximum response to impromidine was markedly and significantly less than that to histamine. 2 The positive inotropic responses of impromidine were inhibited by cimetidine 1 x 10-5M, consistent with histamine H2-receptor involvement. 3 Impromidine 1 x 10-4 M inhibited maximal responses to histamine to a level equal to the maximal impromidine response; however, impromidine did not inhibit responses to isoprenaline. 4 Positive inotropic activity and inhibition ofmaximal responses to histamine occurred over a similar impromidine concentration-range. 5 Impromidine displaced histamine concentration-response curves to the right, whereas mepyramine had no effect on responses to histamine. 6 It is concluded that impromidine has positive inotropic activity on the human ventricle, that the response is mediated via histamine H2-receptors, and that impromidine is a partial agonist compared with histamine.