1. Confocal laser scanning microscopy was used to visualize intercellu
lar transmission of Ca2+ waves in intact rat ventricular trabeculae mi
cro-injected with the calcium indicator fluo-3. 2. Ca2+ waves usually
failed to be transmitted from cell to cell. At identified individual e
nd-to-end cell contacts, successful transmission interspersed with fai
lure, which sometimes occurred despite an apparent small spritz of Ca2
+ between cells. The probability of cell to cell transmission (P-tran)
was 0.13.3. Ca2+ waves arose preferentially near junctions of connect
ed cells, where connexin-43 was found, but randomly in enzymatically d
isconnected heart cells. 4. beta-Adrenergic stimulation significantly
increased P-tran (to 0.22) and heptanol, an uncoupler of gap junction
channels, significantly decreased it (to 0.045). 5. In regions of high
[Ca2+](1) due to damage, wave frequency decreased markedly with each
cell-cell junction passed. 6. The Ca2+ permeability of cardiac gap jun
ctions may be regulated, and the low ability of cardiac gap junctions
to transmit Ca2+ may help control the spread of Ca2+ from damaged regi
ons.