Abstract-Fluorescence microscopy and the NO-sensitive indicator 4,5-diaminofluorescein were used to determine the effects of acetylcholine (ACh) on intracellular NO (NO i ) in cat atrial myocytes. Field stimulation (1 Hz) of cells or exposure of quiescent cells to ACh (1 to 10 mol/L) had no effect on NO i . However, in field-stimulated cells, ACh exposure increased NO i , and ACh withdrawal elicited an additional, prominent increase in NO i production. During ACh exposure, addition of 1 mol/L atropine increased NO i production similar to ACh withdrawal. ACh-induced increases in NO i were reduced by prior exposure to 1 mmol/L extracellular Ca 2ϩ ([Ca 2ϩ ] o ) and prevented by 0. 8 However, ACh withdrawal stimulates I Ca,L above control levels, ie, rebound stimulation, and this response is mediated by NO signaling. 8,9 The rebound stimulation of I Ca,L elicited by ACh withdrawal results in stimulation of atrial contraction, 9 atrial pacemaker activity, 10 and the potential development of Ca 2ϩ -mediated delayed afterdepolarizations and arrhythmic atrial activity. 11 These findings are consistent with reports in multicellular atrial preparations that ACh withdrawal elicits rebound stimulation of intracellular Ca 2ϩ transients and contraction. 12 The fact that rebound stimulation is exhibited by multicellular tissue indicates that the stimulatory response to ACh withdrawal is not unique to isolated myocytes but rather is a physiological mechanism responsible for rapid recovery from cholinergic inhibition of atrial function. In both cat 8 and human 13 atrial myocytes, NO acts via cyclic GMP (cGMP)-induced inhibition of phosphodiesterase type III activity to increase endogenous cAMP levels. By this mechanism, NO signaling mediates the stimulation of I Ca,L elicited by ACh withdrawal. 8 These findings are consistent with studies in chick heart cells, in which ACh withdrawal stimulates cAMP above control levels. 14 Others laboratories have reported that ACh withdrawal stimulates I Ca,L in Purkinje fibers 15 and ventricular myocytes prestimulated by -adrenergic agonists. 16,17 However, in contrast to atrial myocytes, the stimulatory effect of ACh withdrawal in ventricular myocytes is not mediated via NO or cGMP signaling 16,18 but rather is attributable to stimulation of adenylate cyclase by the ␥ subunit of G i protein. 16 In the present study, we used fluorescence microscopy and the NO-sensitive indicator DAF-2 to directly determine the effects of ACh on intracellular NO (NO i ) production in cat atrial myocytes. We also sought to determine whether stim-