Ech A protected mitochondrial functions against cardiotoxic agent-induced damage. H9c2 cells were treated with cardiotoxic agents for 1 h cellular and mitochondrial oxygen consumption rate (OCR) and coupling efficiency was measured using an XF24 analyzer, respectively. (A) Cardiotoxic agents inhibited cellular OCR, but co-treatment with Ech A prevented this inhibition. (B) Cardiotoxic agents inhibited mitochondrial OCR, but co-treatment with Ech A prevented this inhibition. (C) Moreover, Cardiotoxic agents also inhibited coupling efficiency, but co-treatment with Ech A prevented this inhibition. Four independent in vitro experiments were performed. P < 0.05 vs. cardiotoxic agent single treatment group.