ABSTRACT-Rats exposed to SART (specific alternation of rhythm in temperature) stress, which are ideal animal models for vagotonia-type dysautonomia, show various changes in cardiac and circulatory systems. In this study, attention was directed to cholinergic function in the SART-stressed rat heart and the effects of AF-DX 116, a specific muscarinic M 2 antagonist, on blood pressure and heart rate. The results were compared with those obtained for atropine and pirenzepine. In SART-stressed rats, systolic and diastolic blood pressures (SBP and DBP) were lower than in unstressed rats. Oral AF-DX 116 resulted in greater elevation of DBP than SBP in unstressed rats. In stressed rats, greater and more prolonged elevation of SBP than in unstressed rats was noted, particularly at higher doses. A dose-dependent SBP change in stressed rats, caused by intravenous AF-DX 116, was shifted upward in parallel with that in unstressed groups, unlike with oral administration. The positive chronotropic effect of this drug was smaller in stressed rats than in unstressed rats, in contrast to the pressor effect. SART-stressed rats may thus have an enhanced sympathetic tone in the heart, as well as changes in muscarinic M2 receptors at sympathetic nerve endings and at the heart muscle. The effects of AF-DX 116 on blood pressure and heart rate thus may arise from peripheral action and AF-DX 116 may be useful for treating hypotension related to autonomic imbalance of the vagotonia type.Keywords: Stress, Blood pressure, AF-DX 116, Hypotension, M2 antagonist Blood pressure (BP) is related to sympathetic tone and physical and/ or psychological stress (1 -7). In general, stress is thought to induce hypertension in humans and experimental animals. Rats subjected to SART (specific alternation of rhythm in environmental temperature) stress (8) showed hypotension (9) in a manner different from hypertension in animals subjected to other types of stress such as cold and restraint (10 -12).SART stress is induced through sudden drops in environmental temperature and is a type of repeated or intermittent cold stress in rodents. Experimental animals subjected to SART stress are accepted as animal models of vagotoniatype dysautonomia in consideration of the results of Aschner and Mecholyl tests (13). The stressed animals exhibit pathophysiological abnormalities such as an abnormal galvanic skin response (GSR) (8) and electroencephalogram (EEG) (14), hyperalgesia (15), thrombocytopenia (16), as well as hypotension (9). In cardiac and circulatory systems, the animals show tachycardia, short PQ and long QRS intervals and high voltage in R waves on electrocardiograms (ECG) (17), and blood flow either increases or decreases in the arteries (9, 18). In the cholinergic system, a decrease in acetylcholine (ACh) content and an elevation of the synthesis and hydrolysis of ACh in the brain (19) were noted in addition to an increase in ACh content, a decrease in ACh-esterase activity and the number of muscarinic ACh receptors in the small intestine (20).SART-stres...