Abstract-The role of histamine H2-receptors in AV nodal conduction was estimated in the blood-perfused AV node preparation of the dog. Histamine injected into the AV node artery caused an initial, predominant, dose-related prolongation of the AH interval, which was followed by a slight but significant shortening. Diphen hydramine, an H1-antagonist, abolished the initial prolongation, but the shortening was slightly enhanced.Cimetidine, an H2-antagonist, abolished the shortening and potentiated the initial prolongation. Dimaprit, an H2-agonist, caused only a slight, dose-related shortening of the AH interval, which was abolished by cimetidine.The shortening induced by either histamine or dimaprit was slightly suppressed, but was never abolished by atenolol, a beta-blocker, which completely abolished the noradrenaline-induced shortening.These results indicate that a positive dromotropic effect via H2-receptors exists in the canine AV node, although the main effect of histamine on AV nodal conduction is a negative one via H1 receptors.According to extensive studies by Wolff and Levi (see the review of reference 1) using the guinea pig heart, cardiac effects of hista mine are mediated by histamine H2-receptors, i.e., a positive chronotropic effect on the sinoatrial node automaticity and a positive inotropic effect on the ventricular muscle (2-5), while exceptionally, histamine impairs the atrioventricular (AV) nodal conduction (a negative dromotropic effect) via H1 receptors (2-6). In the dog heart (7, 8), like in the guinea pig heart, histamine impairs AV nodal conduction completely via Hl-recep tors. In addition, 4-methyl-histamine, an H2 agonist, administered selectively into the AV node artery had no effect on AV nodal con duction (AH interval) and cimetidine itself did not affect the AH interval, while 2 methyl-histamine, an H1-agonist, prolonged and blocked the AH interval (8). In the same experiment, however, 4-methyl-histamine in creased the AV junctional rhythm, while 2 methyl-histamine decreased it (8). Quite recently, however, it has been reported that even in the guinea pig heart, histamine in creased the maximum upstroke velocity of the propagated action potential of cells of the central part of the complete AV node, which was blocked by cimetidine (9). Furthermore, in the rabbit AV node preparation, histamine reduced the AH-interval and increased the Vmax of NH-cells, which were abolished by cimetidine (10).These diverse results among the previous reports may be explained by several reasons: species difference of experimental animals, route of drug administration, H1 or H2 receptor subtype selectivity of the drugs used, dependence of AV nodal conduction upon heart rate and accuracy of measuring AH interval. In addition, these results may sug gest that even in the dog heart, H2-receptors may play a role in AV nodal conduction, mediating an acceleration of AV nodal con duction which may be masked under H1 receptor mediated negative dromotropic effects. Thus, in the present study, we attempted to prove H2...