1 The cardiovascular effects of (-)-cis-diltiazem, an optical isomer of diltiazem, were studied in the isolated atrium and aortic strip. (-)-cis-Diltiazem (30,pM or more) increased the developed tension of the rat left atrium, while (+ )-cis-diltiazem (1 ,UM or more) decreased it.2 (-)-cis-Diltiazem (1 to 100pM) decreased the rate of spontaneous beating in the right atrium as did (+ -cis-diltiazem. 3 The potency of the positive inotropic action of (-)-cis-diltiazem was almost the same as that of ouabain in the rat left atrium, but in the guinea-pig left atrium it was considerably weaker than that of ouabain.4 In both endothelium-intact and endothelium-denuded aortic strips, (-)-cis-diltiazem relaxed the Ca2 -induced contraction. In the endothelium-intact rat aortic strip depolarized by 15mM KC1, Bay K 8644, a calcium channel agonist, increased the contractile force, whereas (-)cis-diltiazem did not. 5 These results indicate that (-)-cis-diltiazem has a positive inotropic action in isolated atria in rats and guinea-pigs, but the mode of positive inotropic action of (-)-cis-diltiazem is different from that of ouabain or Bay K 8644.