With the current resurgence of interest in the role of mitochondrial [Ca2+] in energy production and cellular Ca2+ signalling, ruthenium red (RR) is being increasingly used as an inhibitor of mitochondrial Ca2+ uptake. In the present study, the effects of RR on cell and mitochondrial [Ca2+], and on cell contractility were determined in isolated rat ventricular myocytes subjected to adrenergic and electrical stimulation. At low concentrations, 0–1 μM, RR inhibited mitochondrial Ca2+ uptake but this was a secondary effect due to a reduced total intracellular [Ca2+], a conclusion supported by the ability of RR to inhibit cell shortening. 5 μM RR completely inhibited cell contraction, whereas higher concentrations, 10–25 μM, induced spontaneous Ca2+ oscillations and contractile waves. These results indicate that great care must be taken when using RR in intact cells, and in interpreting any effects as resulting from a primary inhibition of mitochondrial Ca2+ uptake.