1 This study was designed (i) to assess the effect of S-nitrosoglutathione monoethyl ester (GSNO-MEE), a membrane-permeable analogue of S-nitrosoglutathione (GSNO), on rat isolated heart during cardioplegic ischaemia, and (ii) to monitor the release of nitric oxide (-NO) from GSNO-MEE in intact hearts using endogenous myoglobin as an intracellular -NO trap and the hydrophilic N-methyl glucamine dithiocarbamate-iron During aerobic reperfusion, denitrosylation of the MbNO complex slowly occurred as shown by the decrease in ESR spectral intensity. GSNO-MEE treatment did not affect ubisemiquinone radical formation during reperfusion. 5 GSNO-MEE (20,l`-) treatment elevated the myocardial cyclic GMP during ischaemia (47 + 3 in control vs. 153 + 34 pmol g-' dry wt. after 35 min ischaemia, P< 0.05). The cyclic GMP levels decreased in the control group during ischaemia from 100 + 6 after induction of cardioplegia to 47 + 3 pmol g' dry wt. at the end of ischaemic duration. 6 Glycogen levels were lower in GSNO-MEE (20 pmol 1-1)-treated hearts throughout the ischaemic duration (26.7 + 3.1 in control vs. 19.7 + 2.4 pmol g dry-' wt. in GSNO-MEE-treated group at the end of ischaemic duration), because of rapid depletion of glycogen during induction of cardioplegia. During ischaemia, the amounts of glycogen consumed in both groups were similar. Equivalent amounts of lactate were produced in both groups (148 + 4 in control vs. 141 + 4 umol g' dry wt. in GSNO-MEEtreated group after 35 min in ischaemia). 7 The mechanism(s) of myocardial protection by GSNO-MEE against ischaemic injury may involve preischaemic glycogen reduction and/or elevated cyclic GMP levels in myocardial tissue during ischaemia.