Hypoxic pulmonary vasoconstriction is caused by a rise in cytosolic Ca²⁺ ([Ca²⁺]_cyt) in pulmonary artery smooth muscle cells (PASMC) via multiple mechanisms. PASMC consist of heterogeneous phenotypes defined by contractility, proliferation, and apoptosis. In rat PASMC, hypoxia-mediated decrease in voltage-gated K⁺ (Kv) currents (I_K(V)) and increase in [Ca²⁺]_cyt were not uniformly distributed in all PASMC tested. Acute hypoxia decreased I_K(V) and increased [Ca²⁺]_cyt in ~46% and ~53% of PASMC, respectively. Using combined techniques of single-cell RT-PCR and patch clamp, we show here that mRNA expression level of Kv1.5 in hypoxia-sensitive PASMC (in which hypoxia reduced I_K(V)) was much greater than in hypoxia-insensitive cells (in which hypoxia negligibly affected I_K(V)). These results demonstrate that a) different PASMC express different Kv channel and subunits, and b) the sensitivity of a PASMC to acute hypoxia partially depends on the expression level of Kv1.5 channels; hypoxia reduces whole-cell I_K(V) only in PASMC which express high level of Kv1.5. In addition, the acute hypoxia-mediated changes in [Ca²⁺]_cyt also vary in different PASMC. Hypoxia increases [Ca²⁺]_cyt only in 34% of cells tested, and the different sensitivity of [Ca²⁺]_cyt to hypoxia was not related to the resting [Ca²⁺]_cyt. An intrinsic mechanism within each individual cell may be involved in the heterogeneity of hypoxia-mediated effect on [Ca²⁺]_cyt in PASMC. These data suggest that the heterogeneity of PASMC may partially be related to different expression levels and functional sensitivity of Kv channels to hypoxia and to differences in intrinsic mechanisms involved in regulating [Ca²⁺]_cyt.