SUMMARY The role of sympathetic and other pressor systems in the development of fulminant hypertension induced by baroreceptor deafferentation is still unclear. We studied the effects of acute hypertension produced by bilateral dorsomedullary knife cuts lateral to the nucleus tractus solitarii (DMK-cut) on plasma norepinephrine (NE), epinephrine (E), and vasopressin (VP) in conscious, tailartery-cannulated rats. In saline-pretreated (SAL) rats, DMK-cut caused a significant (p < 0.001) rise in mean blood pressure (MAP, +68 ± 3 mm Hg), heart rate (HR, + 97 ± 19 bpm), NE ( + 2.5 ± 0.3 ng/ml), E (+ 2.7 ± 0.4 ng/ml), and VP (+115 ± 34 pg/ml) compared to sham-operated rats. Neither sympathetic blockade with chlorisondamlne (CHLO, 10 mg/kg, s.c.) nor elimination of the pressor effects of VP by use of Brattleboro rats or the VP pressor antagonist resulted in a maximal MAP response significantly different from that in the SAL + DMK-cut group. However, CHLO-pretreatment of Brattleboro rats completely abolished the increase in MAP and HR. It is suggested that the bilateral DMK-cut causes acute hypertension, probably due to the abolition of baroreceptor reflexes by central interruption of neural connections of the nucleus tractus solitarii. It appears that both the increased sympatboadrenomedullary activity and VP release normally contribute to this hypertension; however, either one is sufficient to sustain the elevated blood pressure. (Hypertension 5: 908-915, 1983) KEY WORDS • norepinephrine • epinephrine heart rate • neurogenic hypertension vasopressin • blood pressure O VER the past several years, peripheral or central interruption of baroreceptor reflex pathways has been shown to produce acute hypertension in several different species.1 " 6 In rats, Doba and Reis' have shown that bilateral electrolytic lesions of the nucleus tractus solitarii (NTS) rapidly produce fulminating arterial hypertension. Intense vasoconstriction in specific systemic vascular beds causes a marked increase in total peripheral resistance; this reduces cardiac output and eventually leads to pulmonary edema.7 Similar cardiovascular responses have been produced in rats by dorsolateral medullary knifecut (DMK-cut) lateral to the NTS. 8 A number of mechanisms appear to contribute to this acute and extreme elevation of blood pressure. It has been suggested that hypertension due to NTS lesions is a result of a marked augmentation of sympathetic neuronal discharge, 1 ' 2 4 5 since ganglionic and alpha-adrenergic blockade reverses the pressor re-