To test the hypothesis that phenylephrine-induced elevations in blood pressure are attenuated in heat-stressed humans, blood pressure was elevated via steady-state infusion of three doses of phenylephrine HCl in 10 healthy subjects in both normothermic and heat stress conditions. Whole body heating significantly increased sublingual temperature by ϳ0.5°C, muscle sympathetic nerve activity (MSNA), heart rate, and cardiac output and decreased total peripheral vascular resistance (TPR; all P Ͻ 0.005) but did not change mean arterial blood pressure (MAP; P Ͼ 0.05). At the highest dose of phenylephrine, the increase in MAP and TPR from predrug baselines was significantly attenuated during the heat stress [⌬MAP 8.4 Ϯ 1.2 mmHg; ⌬TPR 0.96 Ϯ 0.85 peripheral resistance units (PRU)] compared with normothermia (⌬MAP 15.4 Ϯ 1.4 mmHg, ⌬TPR 7.13 Ϯ 1.18 PRU; all P Ͻ 0.001). The sensitivity of baroreflex control of MSNA and heart rate, expressed as the slope of the relationship between MSNA and diastolic blood pressure, as well as the slope of the relationship between heart rate and systolic blood pressure, respectively, was similar between thermal conditions (each P Ͼ 0.05). These data suggest that phenylephrine-induced elevations in MAP are attenuated in heat-stressed humans without affecting baroreflex control of MSNA or heart rate. baroreflex sensitivity; vasoconstrictor agents; muscle sympathetic nerve activity; heart rate; whole body heating EXPOSURE OF HUMANS to hyperthermic conditions leads to increases in skin blood flow, splanchnic and renal vascular resistances, heart rate, and cardiac output, while decreasing total peripheral resistance (TPR; Refs. 10, 21). These combined responses result in little or no change in mean arterial blood pressure (MAP), accompanied with pronounced decreases in central venous filling pressure (5,17,23).Humans become more susceptible to fainting during orthostatic stress and gravitation acceleration when combined with heat stress (1,14,34). A possible mechanism leading to heat-induced reductions in orthostatic tolerance is impaired baroreflex responsiveness.However, we and others have shown that whole body heating does not alter the maximal gain of baroreflex control of heart rate during carotid baroreceptor perturbations (4, 35) or during acute changes in arterial blood pressure (7,36). Moreover, the gain expressing the relationship between blood pressure and muscle sympathetic nerve activity (MSNA) was unaffected by whole body heating (7). In contrast, we reported that whole body heating impairs carotid baroreflex regulation of blood pressure (4), as well as reduces the transfer function gain of the relationship between spontaneous blood pressure and heart rate within the high-frequency range (6). Thus the effects of whole body heating on baroreflex function in humans may depend on the baroreceptor population assessed and/or the method of assessing baroreflex function.Sympathetic neural outflow plays a pivotal role in blood pressure control via baroreflexes. Sympathetic adrenergic nerves...