Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp rrhythmias are likely to occur in diseased hearts, 1-3 and delayed afterdepolarizations (DADs) play an important role 4 in their occurrence, associated with catecholamine excess, 5 heart failure, 6 and mutations of the ryanodine receptor or calsequestrin. 7 Such diseased hearts not only exhibit an increase in diastolic intracellular Ca 2+ ([Ca 2+ ]i), 8 which causes spontaneous Ca 2+ release from the sarcoplasmic reticulum (SR), 9,10 but also exhibit nonuniform muscle contraction, 11,12 which causes Ca 2+ dissociation from the myofilaments within the border zone between contracting and stretched regions during the relaxation phase. 10,13,14 Both the Ca 2+ released from the SR and that dissociated from the myofilaments can induce Ca 2+ waves, which propagate along the myocardium by the mechanism of Ca 2+ -induced Ca 2+ release from the SR. 15 Since the velocity and amplitude of Ca 2+ waves determine the formation of DADs 16 (ie, arrhythmogenesis principally through the activation of the Na + -Ca 2+ exchange (NCX) current 16,17 ), it is still important to investigate the propagation features of the Ca 2+ waves.It has been reported that in ventricular hypertrophy, 6 clear changes occur with maladaptive remodeling of the myocardium: (1)