Objective To investigate the effects of diazoxide （DIA）cardioplegic solution on the reduction of donor cardiomyocyte apoptosis, Methods In a Krebs-Henseleit （KH） solution perfused isolated rabbit heart Langendorff model, 32 rabbit hearts were divided into four groups with simple random sampling （8 rabbits in each group ）： DIA group （50μmol/L diazoxide mixed in KH solution）,STH group （ST, Thomas＇ solution）, 5-HD group （50μmol/L diazoxide and 100μmol/L 5-hydroxydecanoic acid mixed in KH solution）, KH group （KH solution）, The rabbit hearts of each group underwent 6 hours of hypothermic （4 C） storage in the corresponding cardioplegic solution. Left ventricular developed pressure （LVDP）, maximal values of positive rate of left ventricular pressure （＋dp/dtmax） were measured before and after storage, The post-storage values of LVDP and ＋dp/dtmax were expressed as the percentage of pre-storage control values. Apoptotic cardiomyocytes were detected by the TdT- mediated dUTP-biotin nick end labeling （TUNEL）. Malonaldehyde （MDA） contents and adenosine triphosphate （ATP） contents were also measured after storage. Results Recovery rates of LVDP, ＋dp/dtmax, and ATP contents in DIA group were higher than those of other 3 groups respectively（P〈0. 05）, Cardiomyocytes apoptosis percentage and MDA content were lower than other 3 groups respectively（P〈0. 05）, Conclusions Diazoxide cardioplegic solution can protect the isolated hearts and this may be relates to opening selective mitochondrial KATP channels. The selective mitochondrial KATP channel antagonist 5-hydroxydecanoic acid can block the cardioprotective effect of diazoxide.