The roles of β-adrenoceptor were well known in hyperthyroidal heart, but not with α-adrenoceptor. So we studied the effects of phenylephrine on membrane potential, intracellular sodium activity (aiNa), twitch force, and intracellular pH (pHi) by continuous intracellular recordings with ion-selective and conventional microelectrodes in the papillary muscles of hyperthyroid guinea pig heart. α1-Adrenoceptor stimulation by phenylephrine (10-5 or 3 × 10-5M) produced the following changes: variable changes in action potential duration, a hyperpolarization (1.5 ± 0.1mM) of the diastolic membrane potential, an increase in aiNa (0.4 ± 0.15mM), a stronger positive inotropic effect (220 ± 15%), an increase in pHi (0.06 ± 0.002 unit). These changes were flocked by prazosin and atenolol. This indicated that the changes in membrane potential, aiNa twitch force, and pHi are mediated by a stimulation of the α1-Adrenoceptor. Ethylisopropylamiloride (10-5) also blocked the increase in aiNa and twitch force. On the other hand, strophanthidin, tetrodotoxin, Cs+ or verapamil did not block the increase in aiNa and twitch force. Thus, it was suggested that α1-Adrenoceptor stimulation increased aiNa and pHi by stimulation of Na+-H+ exchange, thereby allowing intracellular alkalinization and aiNa increase. These results were very different from euthyroidal heart which showed α1-Adrenoceptor-induced decrease in aiNa and initial negative inotropic effect. From the above results, it was concluded that α1-Adrenoceptor had a important role in hyperthy-roidal heart.