The review deals with the release of endothelium-derived dopamine and 6-nitrodopamine (6-ND) and its effects on isolated vascular tissues and isolated heart. Human isolated umbilical cord vessels, human popliteal vessels, non-human primate vessels, and reptilia aortae, present basal release of both dopamine and 6-ND. The 6-ND basal release was significantly reduced when the tissues were treated with L-NAME and virtually abolished when the endothelium was mechanically removed. 6-Nitrodopamine is a potent vasodilator, and the mechanism of action responsible for this effect is the antagonism on dopamine D2-like receptor. As a vasodilator, 6-ND constitutes a novel mechanism by which NO modulates vascular tone. The basal release of 6-ND was substantially decreased in eNOS-/- mice and not altered in nNOS-/- mice, indicating a non-neurogenic source for 6-ND in the heart. Indeed, in rat isolated right atrium, the release of 6-ND was not affected when the atria were treated with tetrodotoxin. In the rat isolated right atrium, 6-ND is the most potent endogenous positive chronotropic agent, and in Langendorff's heart preparation, it is the most potent endogenous positive inotropic agent. The positive chronotropic and inotropic effects of 6-ND are antagonized by β1-adrenoceptor antagonists at concentrations that do not affect the effects induced by noradrenaline, adrenaline, and dopamine, indicating that blockade of 6-ND receptor is the major modulator of heart chronotropism and inotropism. The review proposes that endothelium-derived catecholamines may constitute a major mechanism for control of vascular tone and heart functions, in contrast to the overrated role attributed to the autonomic nervous system.