We studied functional and intracellular calcium responses to treppe and extracellular calcium in spontaneously hypertensive rat (SHR) hearts during the transition from compensated pressure overload to failure. Intracellular calcium was measured using aequorin, a bioluminescent Ca 2+ indicator. Experiments were performed with intact, isovolumically contracting, buffer-perfused hearts from three rat groups: (1) aging SHR with evidence of heart failure (SHR-F), (2) age-matched SHR with no evidence of heart failure (SHR-NF), and (3) age-matched normotensive Wistar-Kyoto (WKY) rats. In each experiment, left ventricular pressure and intracellular calcium transients were simultaneously recorded. Hearts were studied at 30°C and paced at a rate of 1.6 Hz while being perfused with oxygenated Krebs-Henseleit solution (95% O 2 /5% CO 2 ) at 100 mm Hg. At the baseline state, peak systolic pressure was greatest in the SHR-NF group and lowest in the SHR-F group. Peak and resting [Ca 2+ ]i were not significantly different among groups; however, the calcium transient was prolonged in the SHR-NF and SHR-F groups. With increasing perfusate [Ca 2+ ] o from 0.5 to 3.0 mmol/L, the relative increases in peak [Ca 2+ ]| and peak systolic pressure were similar among groups. When stimulation rate was increased from 1.6 to 2.0, 2.4, 2.8, and 3.2 Hz, peak [Ca 2+ ]i, peak R elatively few models of cardiac pressure overload have stable hypertrophy persisting over most of the animal's life followed by a state in which chamber and muscle function are impaired. The spontaneously hypertensive rat (SHR) is a model that in many respects parallels the course of human hypertensive heart disease. Studies of both failing human 13 ], and pressure decrease in parallel in the SHR-F heart with increasing stimulation rate, suggesting that impaired calcium cycling may contribute to compromised pump function in the SHR-F heart. (Hypertension. 1994^4J47-356.) Keywords • calcium • heart hypertrophy muscle, cardiac heart failure, congestive in the force-frequency response between failing and nonfailing human myocardia and a reduced ability of the failing heart to increase force at increasing stimulation rates.6 Studies of isolated ventricular strips from failing human ventricles demonstrate that increased stimulation rates enhance disturbances in calcium handling 1 ' 2 and force development.6 It is well recognized that treppe and increasing [Ca 2+ ] o lead to an increase in [Ca 2+ ], and the number of occupied crossbridges per unit time, which in turn results in an increase in myocardial energy demands. In addition, both of these interventions lead to increases in [Ca 2+ ], and a greater load on intracellular calcium control systems. However, one problem with isolated muscle studies is the uncertainty regarding diffusion, inherent in isolated muscle studies, and the applicability to in vivo physiology. To bridge the gap between isolated muscle studies and in vivo physiology, we have carried out studies in the isolated perfused heart prepa...