The mechanism of the observed alteration in the contractile state of the heart observed in clinical hyperthyroidism has remained a difficult mechanism to delineate. Formerly it was thought that increased sensitivity of the sympathetic nervous system mediated by thyroxine could explain the responses ( 1, 2 ) . However, this hormone also has a direct myocardial (cellular) effect which could be responsible for the altered contractility (3, 4, 5, 6). Indeed, both of these mechanisms may operate in vivo and account for the altered chronotropic and inotropic responses of hyperthyroid hearts. Since in vitro experiments have revealed increased contractility of hyperthyroid cat myocardium, the purpose of the present experiment was to examine the responses of hyperthyroid cat myocardium to calcium, the key element in the excitation-contraction coupling mechanism.I n work previously done in our laboratory, we have demonstrated that ouabain is capable of producing negative inotropic responses in isolated cat papillary muscle exposed to extracellular calcium concentrations less than 0.6 mM ( 7 ) . The responses to ouabain at low extracellular calcium concentrations of hyperthyroid cat myocardium, however, appeared to be more pronounced than controls, i.e., greater depression of contractility.The purpose of the present experiments was to examine the sensitivity of two different cellular processes of hyperthyriod myocardium to extracellular calcium concentrations. The developed isometric tension and its first derivative and the transmembrane action potential were the measured responses.Materials and Met hods. Right ventricular papillary muscles were removed from 56 control cats and from 30 cats which had received 1-thyroxine, 0.75 mg/kg/day for 21 days. One end of the muscle was held in a fixed position and the other end attached to a force displacement transducer for tension measurement. Isometric tension was measured at L,,,,, and the first derivative of the tension tracing (dT/dt) was monitored online by means of an active differentiator with a time constant of 1 msec. A horizontal, 25 ml lucite flow-through bath was perfused with Krebs solution at 25" and equilibrated with 95% 0,-5c/o COa. Muscles were stimulated to contract isometrically a t 12/min by means of fine platinum electrodes placed in close proximity on either side of the muscle base at a voltage 5% to 10% above threshold. Transmembrane action potentials (TAP) were recorded by means of standard 3M KC1-filled glass micro-electrodes mounted in a right-angle assembly with signal amplification by a Bak standard electrometer and a Tektronix model 502 dual beam oscilloscope.Total duration of the TAP as well as times for 50% repolarization were the characteristics examined. Tension, dT/dt and transmembrane action potentials were recorded on a direct writing oscillograph as well as on a multichannel Hewlett-Packard 395 5 tape system.Since Ca++ concentration was critical in these experiments, great care was taken in the preparation of the low Ca++ solutions. Solutions wer...