As the most prototypical G protein-coupled receptor, -adrenergic receptor (AR) regulates the pace and strength of heart beating by enhancing and synchronizing L-type channel (LCC) Ca 2؉ influx, which in turn elicits greater sarcoplasmic reticulum (SR) Ca 2؉ release flux via ryanodine receptors (RyRs). However, whether and how AR-protein kinase A (PKA) signaling directly modulates RyR function remains elusive and highly controversial. By using unique single-channel Ca 2؉ imaging technology, we measured the response of a single RyR Ca 2؉ release unit, in the form of a Ca 2؉ spark, to its native trigger, the Ca 2؉ sparklet from a single LCC. We found that acute application of the selective AR agonist isoproterenol (1 M, <20 min) increased triggered spark amplitude in an LCC unitary current-independent manner. The increased ratio of Ca 2؉ release flux underlying a Ca 2؉ spark to SR Ca 2؉ content indicated that AR stimulation helps to recruit additional RyRs in synchrony. Quantification of sparklet-spark kinetics showed that AR stimulation synchronized the stochastic latency and increased the fidelity (i.e., chance of hit) of LCC-RyR intermolecular signaling. The RyR modulation was independent of the increased SR Ca 2؉ content. The PKA antagonists Rp-8-CPT-cAMP (100 M) and H89 (10 M) both eliminated these effects, indicating that AR acutely modulates RyR activation via the PKA pathway. These results demonstrate unequivocally that RyR activation by a single LCC is accelerated and synchronized during AR stimulation. This molecular mechanism of sympathetic regulation will permit more fundamental studies of altered AR effects in cardiovascular diseases.-adrenergic receptor ͉ calcium signaling ͉ excitation-contraction coupling ͉ isoproterenol ͉ protein kinase A T he ability of the heart to beat faster and stronger is central to the vertebrate survival instinct (1, 2). In the basal state, only a fraction of heart pumping power is used. During stress, -adrenergic receptor (AR)-mediated sympathetic modulation of heart function releases the functional reserve of the excitation-contraction (E-C) coupling to meet the increased demands of blood pumping power (3, 4). The cardiac E-C coupling operates as a coordinated system, and the degree of coordination/synchronization among its component organelles and molecules is a major determinant of the system output (2). The Ca 2ϩ transient that governs the cardiac cell contraction is generated via the Ca 2ϩ -induced Ca 2ϩ release (CiCR) mechanism (1, 5, 6), in which the Ca 2ϩ influx through L-type Ca 2ϩ channels (LCCs) during excitation activates the ryanodine receptor (RyR) Ca 2ϩ release from the sarcoplasmic reticulum (SR) (7,8). At the molecular level, individual LCC opening and local RyR Ca 2ϩ release, in the form of Ca 2ϩ spark firing, are both stochastic processes (8, 9). This stochastic behavior allows a wide dynamic range of the CiCR system, i.e., from firing random Ca 2ϩ sparks to generating global Ca 2ϩ transients.During AR stimulation, local Ca 2ϩ releases are ac...