Cardiac myocytes, in the intact heart, are exposed to shear/fluid forces during each cardiac cycle. Here we describe a novel Ca 2+ signaling pathway, generated by "pressurized flows" (∼300 ms) intracellular Ca 2+ transients lasting ∼1700 ms at room temperature. Though subsequent PFs (applied some 10-30 s later) produced much smaller or undetectable responses, such transients could be reactivated following caffeine- or KCl-induced Ca 2+ releases, suggesting that a small, but replenishable, Ca 2+ pool serves as the source for their activation. PF-triggered Ca 2+ transients could be activated in Ca 2+ -free solutions or in solutions that block voltage-gated Ca 2+ channels, stretch activated channels (SAC), or the Na + /Ca 2+ exchanger (NCX), using Cd 2+ , Gd 3+ , or Ni 2+ , respectively. PF-triggered Ca 2+ transients were significantly smaller in quiescent than in electrically-paced myocytes. Paced Ca 2+ transients activated at the peak of PF-triggered Ca 2+ transients were not significantly smaller than those produced normally, suggesting functionally separate Ca 2+ pools for paced and PF-triggered transients. Suppression of nitric oxide (NO) or IP 3 signaling pathways did not alter the PF-triggered Ca 2+ transients. On the other hand, mitochondrial metabolic uncoupler FCCP, in the presence of oligomycin (to prevent ATP depletion), reversibly suppressed PF-triggered Ca 2+ transients, as did the mitochondrial Ca 2+ uniporter (MCU) blocker, Ru360. Reducing agent DTT and reactive oxygen species (ROS) scavenger tempo1, as well as mitochondrial NCX (mNCX) blocker, CGP-37157 inhibited PF-triggered Ca 2+ transients. In rhod-2 AM loaded and permeabilized cells, confocal imaging of mitochondrial Ca 2+ showed a transient increase in Ca 2+ on caffeine exposure and a decrease in mitochondrial Ca 2+ on application of PF pulses of solution. These signals were strongly suppressed by either Na + -free or CGP-37157 containing solutions, implicating mNCX in mediating the Ca 2+ release process. We conclude that subjecting rat cardiac myocytes to pressurized flow pulses of solutions triggers the release of Ca 2+ from a store that appears to access mitochondrial Ca 2+ .