Background-We studied the effect of an antioxidant, the intracoronary infusion of vitamin C, on basal and dobutamine-stimulated left ventricular (LV) contractility. Methods and Results-Nineteen patients with normal ventricular function participated in this study. A micromanometertipped catheter was inserted into the LV. In the experimental group (nϭ10), an infusion catheter was positioned in the left main coronary artery. LV peak ϩdP/dt (LV ϩdP/dt) was measured in response to the intravenous infusion of dobutamine before (Dob) and during (Dobϩvit C) the intracoronary infusion of vitamin C. The intracoronary infusion of vitamin C had no effect on basal LV ϩdP/dt or any other hemodynamic parameter. The infusion of vitamin C augmented the LV ϩdP/dt response to dobutamine by 22Ϯ4% (Dob, 1680Ϯ76 mm Hg/s; Dobϩvit C, 1814Ϯ97 mm Hg/s, PϽ0.01). In the control group (nϭ9), LV ϩdP/dt was measured in response to sequential infusions of dobutamine (Dob, Dob-2) given at the same time intervals as in the experimental group but without the intracoronary infusion of vitamin C. In contrast to the experimental group, no difference in LV ϩdP/dt was observed between the 2 infusions of dobutamine (Dob, 1706Ϯ131 mm Hg/s; Dob-2, 1709Ϯ138 mm Hg/s, PϭNS). Conclusions-The administration of the antioxidant vitamin C augments the inotropic response to dobutamine in humans.This suggests that redox environment contributes to the adrenergic regulation of ventricular contractility.