developed a computer model of cardiac excitation-contraction coupling (Kyoto model) that includes the major processes of ATP production, such as oxidative phosphorylation that was originally developed for skeletal muscle by Korzeniewski and Zoladz [Biophys Chem 92: 17-34, 2001], creatine kinase, and adenylate kinase. In this review, we briefly summarize cardiac energy metabolism and discuss the regulation of mitochondrial ATP synthesis, using the Kyoto model. Energy balance is a key issue in cellular homeostasis, how it is achieved and what the consumers and producers of energy are. The problem of energy balance has been studied by the development of computer models of relatively simple cell types, such as the red blood cells and Escherichia coli (see review by Bassingthwaighte [1]). The next step in these studies is an in silico analysis of the energy homeodynamics of cardiac muscle, in which the major consumers of energy, such as muscle contraction and ion pumping, have been well studied. The basic principles required for modeling energy balance are summarized by Bassingthwaighte [1] and Jafri et al. [2]. Heart muscle receives energy from substrates and oxygen and delivers energy mainly for pumping blood around the systemic and pulmonary systems. The chemical energy that supports this cardiac work is derived from the hydrolysis of ATP. Therefore the heart is an energy transducer. An estimation based on myocardial oxygen consumption indicated that the human heart produces 35 kg of ATP in one day, which is more than 100 times its own weight and more than 10,000 times the amount of ATP it stores [3]. Thus the heart produces and uses ATP at an extremely high rate. Each step associated with ATP metabolism has been extensively studied. The relationship between ATP production and membrane excitation-contraction coupling, however, which is a main ATP-consuming process, is not yet fully understood because of complicated interactions and the lack of quantitative data in vivo. Computer simulation is a powerful tool with which to integrate experimental data and to solve the complicated interactions. But only a few computer models have been developed to deal with the cardiac excitation-contraction-energy metabolism coupling [4]. In this review we briefly summarize cardiac energy metabolism and describe our recent studies about cardiac ATP metabolism.