Since their inception, super resolution methodologies have revolutionised the way in which biologists can visualise subcellular structures. Cardiac science has particularly benefited under these methodologies, as structures such as the dyads of cardiomyocytes have become resolvable, thus yielding new understanding of -their spatial organization. However, pairing of nanoscale dyadic structure and function has been hampered by the fact that techniques such as direct stochastic optical reconstruction microscopy (dSTORM) generally require fixed tissue. Furthermore, quantification of dSTORM images based on antibody labelling is complicated by variability in labelling efficacy, and displacement of the fluorophore from the protein of interest. We presently circumvented these limitations by creating a transgenic mouse expressing a photo activated red fluorescent protein tagged to ryanodine receptor 2 (PA-tag-RFP-RyR2). Imaging of live, isolated cardiomyocytes was attained with a commercial Zeiss Elyra dSTORM setup using the photo-activated light microscopy (PALM) technique. PA Tag RFP requires dual sample illumination with activation laser and imaging laser to produce constant photo switching. In our experiments we found that by adjusting the rate of activation and photobleaching from imaging we could optimize the blinking behaviour required for live cell PALM imaging. To reduce background, HILO and TIRF illumination were employed to reduce the thickness of the optical section. Our results show RyR localisation accuracy of 40nm in the X and Y plane for live cell images, in contrast to the higher resolution of 10-20nm in fixed samples with antibody labelling. RyR cluster arrangements in live cells were observed to be broadly in agreement with fixed samples. Ongoing work is aimed at linking RyR organization to local calcium release events (Ca2+ sparks), with focus on unravelling the functional consequences of the dynamic nature of RyR arrangement.