Why is Drosophila a good model of cardiac physiology?The fly heart has been an excellent model of cardiovascular development for over a decade. Since the discovery of the homeobox transcription factor tinman (Azpiazu and Frasch 1993, Bodmer 1993, Bodmer et al. 1990) and the recognition that it is conserved in vertebrates [reviewed in (Bodmer 1995, Harvey 1996], more and more evidence has corroborated the idea that much of the regulatory genetic network controlling the specification and differentiation of the heart is conserved from flies to mammals [reviewed in (Bodmer and Frasch 1999, Bodmer et al. 2005, Cripps and Olson 2002, Zaffran and Frasch 2002 ], laying the ground work for molecular models of congenital heart disease in humans [reviewed in (Chien and Olson 2002, Prall et al. 2002, Seidman and Seidman 2002, Olson 2004, Srivastava 2006]. Given the remarkable conservation of molecular and embryological mechanisms underlying cardiogenesis in the animal kingdom, it seems plausible that the genetic control of heart function may also be conserved. Clearly, many proteins that carry out cardiac function, such as ion channels and contractile proteins, are highly conserved (reviewed in Bodmer et al. 2005): contributors to excitation-contraction coupling, such as the ryanodine receptor, SERCA, myosin, troponin, and ion channels likely to be involved in pacemaking, such as Ih/HCN (Monier et al. 2005), are all present in fly cardiomyocytes. Also, plasma membrane invag inations forming T tubules have been observed in the fly's heart, much like in vertebrates, and the mononucleate cardiomyocytes that comprise the heart tube are electrically connected by GAP junctions formed by innexin proteins in invertebrates. Thus, it is conceivable that the way these conserved proteins function within the mature heart to ensure a normal heartbeat has also evolved from a common evolutionary design that was in place prior to the invertebratevertebrate split.In the following we review recent advances in elucidating the genetics of cardiac function and aging in Drosophila and propose that the control of the cardiac physiology and rhythmicity is conserved between in many ways vertebrates and invertebrates. As a consequence, the fly heart is a potentially useful genetic model not only for understanding congenital heart disease that Correspondence: R. Bodmer (rolf@burnham.org) and X. Wu