Background: The fluorinated substance perfluorooctane sulfonate (PFOS) is a man-made fluorinated compound. It is employed in a variety of industrial and civilian applications. Due to its long elimination half-life and promotion of oxidative stress and inflammation, it is one of the most abundant organic contaminants. The effect of PFOS exposure on the heart, on the other hand, is still quite limited. Aim of work: This study was designed to determine the cytotoxic effect of PFOS on adult male albino rat cardiac tissue and to assess the cardioprotective role of the flavonoid Quercetin (Que), which possesses antioxidant, anti-inflammatory, and anti-apoptotic characteristics. Material and methods: Twenty-four adult male Sprague Dawley rats were randomly divided into four equal groups; Group I (Control). Group II (Que). Group III (PFOS group): supplemented orally with PFOS (20 mg/kg for 4 weeks) and Group IV (PF OS/Que). The rat heart was processed for histological, immunohistochemical and gene expression studies Results: Compared with the control and Que groups, the PFOS group displayed histopathological changes in the myocardium involving disrupted cardiac muscle fibers, congested blood capillaries, inflammatory cellular infiltration and increased the mean area % of the intervening collagen fibers. In addition, this group displayed a weak immunoexpression of connexin 43 (CX43) with a strong immunoexpression of heat shock protein 70 (HSP70). PFOS increased the serum cardiac enzymes (LDH and CK-MB), lipid profile, TSH, MDA, and the inflammatory biomarkers (TNF-α, IL-6, IL-1β). Also, PFOS induced over expression of apoptotic and SERCA2a genes. On the other hand, PFOS decreased total T3, T4 and the antioxidant enzymes; CAT and SOD. Administration of Que with PFOS partially attenuated the PFOS-induced histological and bimolecular changes. Conclusion: PFOS had adverse effects on the cardiac muscle structure and these effects were alleviated by Que which is a promising cardioprotective flavenoid.