1 The e ects of CGS 21680, a selective A 2A adenosine receptor agonist, on cardiac output, blood pressure, mean circulatory ®lling pressure (P mcf ), arterial and venous resistances, heart rate and left ventricular end-diastolic pressure were assessed in rats with acute heart failure by means of coronary artery occlusion. 2 Animals (n=6 in each group) were divided into ®ve groups: group I, sham-operated vehicle-treated (0.9% saline; 0.018 mL min 71 ); groups II-V, subject to coronary artery occlusion and treated with vehicle (0.9% saline; 0.018 ml min 71 ) and CGS 21680 (0.1, 0.3 and 1.0 mg kg 71 min 71 ), respectively. Haemodynamic measurements were taken one hour after completion of surgery, ninety minutes after coronary artery occlusion (except in group I), and ®fteen minutes after infusion of saline or CGS 21680. 3 Baseline haemodynamic measurements before occlusion were found not to di er signi®cantly between the di erent groups of animals. However, after occlusion, cardiac output, rate of rise in left ventricular pressure (+dP/dt) and blood pressure were signi®cantly reduced when compared to corresponding values in sham-operated animals. In addition, occlusion of the coronary artery resulted in a signi®cant elevation in venous resistance, P mcf and left ventricular end-diastolic pressure as compared to corresponding values in sham-operated animals. 4 Infusion with CGS 21680 at the highest dose signi®cantly reduced blood pressure, arterial resistance and left ventricular end-diastolic pressure when compared to occluded vehicle-treated animals (group II). Administration of CGS 21680 at the highest dose also signi®cantly increased cardiac output (28%) and heart rate (10%) in comparison to occluded vehicle-treated animals. In addition, the highest dose of CGS 21680 signi®cantly reduced P mcf (9%) and venous resistance (62%) in comparison to occluded vehicle-treated animals. Administration of CGS 21680 did not signi®cantly a ect +dP/dt when compared to occluded vehicle-treated animals. 5 The results from the present investigation indicate that occlusion of the coronary artery in rats results in a state of heart failure characterized by reduced arterial pressure and cardiac output, and increased venous resistance, P mcf and left ventricular end-diastolic pressure. Administration of CGS 21680 to animals with acute heart failure resulted in increased cardiac output which was due to reduced venous resistance, as well as increased heart rate.