Background-Sodium channels isolated from mammalian brain are composed of ␣-,  1 -, and  2 -subunits. The composition of sodium channels in cardiac muscle, however, has not been defined, and disagreement exists over which -subunits are expressed in the myocytes. Some investigators have demonstrated  1 expression in heart. Others have not detected any auxiliary subunits. On the basis of Northern blot analysis of total RNA,  2 expression has been thought to be exclusive to neurons and absent from cardiac muscle. Methods and Results-The goal of this study was to define the subunit composition of cardiac sodium channels in myocytes. We show that cardiac sodium channels are composed of ␣-,  1 -, and  2 -subunits. Nav1.5 and Nav1.1 are expressed in myocytes and are associated with  1 -and  2 -subunits. Immunocytochemical localization of Nav1.1,  1 , and  2 in adult heart sections showed that these subunits are expressed at the Z lines, as shown previously for Nav1.5. Coexpression of Nav1.5 with  2 in transfected cells resulted in no detectable changes in sodium current. Conclusions-Cardiac sodium channels are composed of ␣-(Nav1.1 or Nav1.5),  1 -, and  2 -subunits. Although  1 -subunits modulate cardiac sodium channel current,  2 -subunit function in heart may be limited to cell adhesion.