The endocardial endothelium is an important modulator of myocardial function. The present study demonstrates the existence of a stretch-activated Ca2+-permeable cation channel and of a Ca2+-activated K+ channel in the endocardial endothelium of the porcine right atrium. The stretch-activated channel is permeable for K+, Na+, Ca2+, and Ba2+, with mean conductances of z32 pS for the monovalent cations and -13 pS for divalent cations. The Ca2+-activated K+ channel has a mean conductance of 192 pS in symmetrical KCI solution. Channel activity is strongly dependent on membrane potential and the cytosolic Ca2+ concentration. Halfmaximal activation occurs at a cytosolic Ca2+ concentration of -5 pM. The influx of Ca2+ through the stretch-activated channel is sufficient to activate the Ca2+-activated K+ channel in cell-attached patches. Upon activation of the stretchactivated channel, the cytosolic Ca2+ concentration increases, at least locally, to values of =0.5 #M, as deduced from the open probability of the Ca2+-dependent K+ channel that was activated simultaneously. The stretch-activated channels are capable of inducing an intracellular Ca2+ signal and may have a role as mechanosensors in the atrial endothelium, possibly activated by atrial overload.The cavitary side of the atrial and ventricular wall of the heart is covered by the endocardial endothelium (EE). A monolayer of endothelial cells adheres to a basal membrane overlying layers of collagen and elastic fibers (1). There is growing evidence that the EE modulates myocardial function (2, 3) and the vascular endothelium regulates vascular function (4, 5) in similar ways. The modulating role of the EE has recently been demonstrated by studies showing that the removal of the endocardium results in a negative inotropic effect on myocardial contraction (1,3,6). Another function of the EE is the release of endothelial-derived relaxing factor (EDRF) and of endothelin, which seem to be involved in the secretion of atrial natriuretic factor from atrial myocytes (7-9).Studies in vascular endothelium have demonstrated that the EDRF release is not only regulated by various humoral factors but also by physical stimuli such as shear stress or flow (10, 11). For instance, increased shear stress or flow induces an increased release of EDRF by the endothelium and a subsequent vasodilation (10). A mechanism through which shear stress could be coupled to EDRF release and vasodilation may be the activation of stretch-activated cation channels (SACs) that act as "mechanotransducers" (12). The SACs presumably act as a gate to Ca2+ influx into endothelial cells (12)(13)(14) and, therefore, might trigger the intracellular formation of EDRF by Ca2+-dependent synthetases (15, 16).The endothelial release of EDRF has also been shown to be regulated by the cell membrane potential (17). Hyperpolarization induced by activation of K+ channels has been demonstrated to enhance Ca2+ influx into endothelial cells and the release of EDRF.In contrast, to our knowledge, the electrophysiologi...