Objective: Persistent supraventricular tachycardia leads to the development of a dilated cardiomyopathy with impairment of excitation–contraction (EC) coupling. Since the initial trigger for EC coupling in ventricular muscle is the influx of Ca²⁺ through L-type Ca²⁺ channels (I_Ca) in the transverse tubules (T-tubules), we determined if the density of the T-tubule system and L-type Ca²⁺ channels change in canine tachycardia pacing-induced cardiomyopathy. Methods: Confocal imaging of isolated ventricular myocytes stained with the membrane dye Di-8-ANEPPS was used to image the T-tubule system, and standard whole-cell patch clamp techniques were used to measure I_Ca and intramembrane charge movement. Results: A complex staining pattern of interconnected tubules including prominent transverse components spaced every ∼1.6 μm was present in control ventricular myocytes, but failing cells demonstrated a far less regular T-tubule system with a relative loss of T-tubules. In confocal optical slices, the average % of the total cell area staining for T-tubules decreased from 11.5±0.4 in control to 8.7±0.4% in failing cells (P<0.001). Whole-cell patch clamp studies revealed that I_Ca density was unchanged. Since whole-cell I_Ca is due to both the number of channels as well as the functional properties of those channels, we measured intramembrane charge movement as an assay for changes in channel number. The saturating amount of charge that moves due to gating of L-type Ca²⁺ channels, Q_on,max, was decreased from 6.5±0.6 in control to 2.8±0.3 fC/pF in failing myocytes (P<0.001). Conclusions: Cellular remodeling in heart failure results in decreased density of T-tubules and L-type Ca²⁺ channels, which contribute to abnormal EC coupling.