Bradykinin-induced activation of the pulmonary endothelium triggers a rise in intracellular Ca that activates nitric oxide (NO)-dependent vasorelaxation. Chronic hypoxia is commonly associated with increased pulmonary vascular tone, which can cause pulmonary hypertension in responsive individuals. In the present study, we tested the hypothesis that long-term high-altitude hypoxia (LTH) diminishes bradykinin-induced Ca signals and inhibits endothelial nitric oxide synthase (eNOS), prostacyclin (PGI), and large-conductance K (BK) channels in sheep, which are moderately responsive to LTH, resulting in decreased pulmonary arterial vasorelaxation. Pulmonary arteries were isolated from ewes kept near sea level (720 m) or at high altitude (3,801 m) for >100 days. Vessel force was measured with wire myography and endothelial intracellular Ca with confocal microscopy. eNOS was inhibited with 100 μM N-nitro-l-arginine methyl ester (l-NAME), PGI production was inhibited with 10 µM indomethacin that inhibits cyclooxygenase, and BK channels were blocked with 1 mM tetraethylammonium. Bradykinin-induced endothelial Ca signals increased following LTH, but bradykinin relaxation decreased. Furthermore, some vessels contracted in response to bradykinin after LTH. l-NAME sensitivity decreased, suggesting that eNOS dysfunction played a role in uncoupling Ca signals and bradykinin relaxation. The Ca ionophore A-23187 (10 µM) elicited an enhanced Ca response following LTH while relaxation was unchanged although l-NAME sensitivity increased. Additionally, BK function decreased during bradykinin relaxation following LTH. Western analysis showed that BK α-subunit expression was increased by LTH while that for the β subunit was unchanged. Overall, these results suggest that those even moderately responsive to LTH can have impaired endothelial function.