Aim: Connexin43 (Cx43) exits as hemichannels in the inner mitochondrial membrane. We examined how mitochondrial Cx43 and mitochondrial KATP channels affect the occurrence of triggered arrhythmias.Methods and Results: To generate cardiac-speci c Cx43-de cient (cCx43-/-) mice, Cx43 ox/ ox mice were crossed with α-MHC (Myh6)-cre+/-mice. The resulting offspring, Cx43 ox/ ox/ Myh6-cre+/mice (cCx43-/-mice) and their littermates (cCx43+/+ mice), were used. Trabeculae were dissected from right ventricles of mouse hearts. Cardiomyocytes were enzymatically isolated from ventricles of mouse hearts. Force was measured with a strain gauge in trabeculae (22°C). To assess arrhythmia susceptibility, the minimal extracellular Ca2+ concentration ([Ca2+]o,min), at which arrhythmias were induced by electrical stimulation, was determined in trabeculae. ROS production was estimated with 2',7'-dichloro uorescein (DCF), mitochondrial membrane potential with tetramethylrhodamine methylester(TMRM), and Ca2+ spark frequency with uo-4 and confocal microscopy in cardiomyocytes. Mitochondrial Ca2+ was estimated with rhod-2 in trabeculae. Diazoxide was used to open mitochondrial KATP. Most of cCx43-/mice died suddenly within 8 weeks. Cx43 was present in the inner mitochondrial membrane in cCx43+/+mice, but not in cCx43-/-mice. In cCx43-/mice, the [Ca2+]o,min was lower, Ca2+ spark frequency and DCF oxidation rate were more increased, and TMRM uorescence was more decreased. These changes in cCx43-/-mice were suppressed by diazoxide. Besides, in cCx43-/mice, antioxidant peptide SS-31 increased the [Ca2+]o,min. Rhod-2 uorescence was increased at high [Ca2+]o only in Cx43-/mice.Conclusions: These results suggest that the de ciency of Cx43 activates Ca2+ leak from the SR probably due to an increase in ROS production, depolarization of mitochondrial membrane potential, and an increase in mitochondrial Ca2+, thereby causing triggered arrhythmias and that the de ciency of Cx43 hemichannels may be compensated by activation of mitochondrial KATP channels in mouse hearts.