Sarcoplasmic reticulum (SR) Ca 2ϩ release has been shown not to be the predominant mechanism responsible for excitation-contraction (E-C) coupling in fetal myocytes. However, most of the studies have been conducted either on primary cultures or acutely isolated cells, in which an apparent reduction of ryanodine receptor density have been reported. We aimed to elucidate the contribution of SR Ca 2ϩ release and Ca 2ϩ transporters on sarcolemmal channels to Ca 2ϩ transients in fetal mouse whole hearts. On embryonic day 13.5, ryanodine significantly reduced the amplitude of the Ca 2ϩ transient to 27.2 Ϯ 4.4% of the control, and both nickel and SEA0400 significantly prolonged the time to peak from 84 Ϯ 2 ms to 140 Ϯ 5 ms and 129 Ϯ 6 ms, respectively, whereas nifedipine did not alter it. Therefore, at early fetal stages, SR Ca 2ϩ release should be an important component of E-C coupling, and T-type Ca 2ϩ channel and reverse mode sodium-calcium exchanger (NCX)-mediated SR Ca 2ϩ release could be the predominant contributors. Using embryonic mouse cultured cardiomyocytes, we showed that both nifedipine and nickel inhibited the ability of NCX to extrude Ca 2ϩ from the cytosol. From these results, we propose a novel idea concerning E-C coupling in immature heart. (Pediatr Res 69: 306-311, 2011)