cAMP as a prototypic second messenger has provided a paradigm for compartmentalized, microdomain-specific subcellular signaling. In cardiomyocytes, this can generate distinct functional outcomes, e.g. improve contractility/relaxation and promote cardiac remodeling downstream of the same β1-adrenoceptor (β1-AR). Current heart failure (HF) therapies, such as β-blockers, target both mechanisms and, while providing valuable antihypertrophic effects, they diminish cardiac contractility and relaxation, which is undesirable for HFrEF and HFpEF patients, respectively. Based on recent evidence from our laboratories, we have developed a new class of β-blockers acting preferentially at cardiomyocyte outer membrane which leads to ameliorated nuclear cAMP activity and attenuated cardiac remodeling. In contrast, these drugs do not inhibit β1-AR in the so-called T-tubuli and at intracellular membranes, which are known to regulate L-type Ca2+ channel current and phospholamban phosphorylation responsible for cardiomyocyte contractility and relaxation, respectively.