Arterial hypertension (AH) is the leading modifying risk factor for cardiovascular mortality. Systemic or pulmonary AH is also a significant factor stimulating the development of atrial fibrillation (AF). The pathophysiological mechanisms underlying the mutually reinforcing relationship between AH and AF are multifaceted and are due to structural, biochemical, and electrical remodeling of the atria. About 20% of AF cases are caused by the development of ectopic activity in the structures of the right atrium (RA), including the natural dominant pacemaker of the heart – the sinoatrial node (SAN), as well as the arrhythmogenic myocardium of the vena cava wall. The mechanisms stimulating the development of profibrillatory foci in the right atrium under mechanical action caused by AH remain poorly understood. The aim of this work was to study the mechanical effects on the electrophysiological properties of vulnerable zones of the RA myocardium and its susceptibility to proarrhythmic cholinergic effects. The experiments were performed using isolated tissue preparations of the right atrium of Wistar rats (400 ± 50 g, n = 16) and spontaneously hypertensive SHR rats (SBP: 180–220 mmHg, 300 ± 50 g, n = 10), including the sinoatrial node (SAN), the orifice and the distal part of the superior vena cava (SVC) and demonstrating automatic activity. Using the technique of multichannel microelectrode leads, simultaneous recording of the resting potential and spontaneous action potentials (AP) in the atrial and distal parts of the SVC was performed under control conditions, as well as under mechanical loading/stretching accompanied by the action of acetylcholine (ACH). The duration of AP in the SVC of hypertensive rats is significantly shorter than that of normotensive rats. The frequency of spontaneous AP in the SAN of SHR rats is lower than that of Wistar rats. The negative chronotropic effect caused by ACH in hypertensive rats is significantly greater than that of normotensive rats. Mechanical loading/stretching causes depolarization (up to –60 ± 5 mV), a decrease in AP amplitude, suppression of excitation conduction and excitation conduction blocks in the SVC. The above effects in the SVC of SHR rats develop with significantly less mechanical action than in Wistar rats. Mechanical loading/stretching increases the sinus rhythm in normotensive rat preparations (cycle length: –14 ± 3%, n = 16, p < 0.01), but causes its decrease in SHR rat preparations (+20 ± 9%, p < 0.01). Mechanical stimulation enhances the negative chronotropic effect of ACH. This enhancement is significantly more pronounced in SHR rats than in normotensive animals: under loading/stretching, ACH suppresses sinus rhythm in 100% of experiments in SHR and only in 50% in normotensive rats. Under control conditions, the RA myocardium of normotensive rats and SHRs demonstrates different bioelectrical properties and different sensitivity to ACH. The SAN and SVC in SHRs are more sensitive to mechanical effects. Mechanical stretching/loading increases the sensitivity of the SAN to choline stimulation. AH, due to increased sensitivity to ACH during myocardial stretching, promotes the formation of an arrhythmogenic substrate in the structures of the right atrium.