In cardiac myocytes, the cytoplasmic-free concentration of Mg 2ϩ ([Mg 2ϩ ] i ) is maintained at or slightly lower than 1.0 mM [1][2][3][4], a level several hundred fold lower than that expected from its passive distribution. It follows that Mg 2ϩ must be actively extruded from the cells to counterbalance Mg 2ϩ influx driven by the electrochemical gradient across the cell membrane.As it is such an active extrusion pathway, it has been postulated that a Na ϩ -Mg 2ϩ exchange that utilizes energy from Na ϩ influx plays an important role in cardiac myocytes [5][6][7] as well as in other cell types (for review, see Flatman [8] and Romani and Scarpa [9]).However, experimental evidence of the Na ϩ -Mg 2ϩ exchange in cardiac myocytes is controversial [3,4,10], and detailed properties of the transport still remain largely unknown.The present study was aimed to determine, under control of the membrane potential, if Na ϩ -Mg 2ϩ exchange plays an essential role in cardiac myocytes, and how the membrane potential, over a wide range, modulates the transport of Mg 2ϩ across the cell membrane. This information is one of the important clues to the elucidation of Na ϩ -Mg 2ϩ exchange stoichiometry. Flatman et al. [11] studied, for the first time, Na ϩ -