1 Dogs, anaesthetized with chloralose and urethane, were subjected to a 25 min occlusion of the left anterior descending coronary artery. This resulted in ventricular ectopic activity, a reduction in barore¯ex sensitivity (BRS, measured following the intravenous administration of phenylephrine), elevations in the epicardial ST-segment and increases in the degree of inhomogeneity of electrical activation, both measured from the ischaemic region of the left ventricular wall. 2 These changes were markedly reduced when the 25 min occlusion was preceded, 20 min earlier, by a 5 min (preconditioning) occlusion of the same coronary artery (e.g. VF during ischaemia reduced from 40% in the controls to 0%; P50.05; BRS increased from 1.22+0.23 preocclusion to 1.61+0.25 mmHg ms 71 post-occlusion in preconditioned dogs; cf. 1.28+0.29 to 0.45+0.12 mmHg ms 71 respectively in the controls, P50.05). 3 These bene®cial e ects of preconditioning were prevented by the administration, 10 min prior to the 25 min coronary artery occlusion, of atropine (1 mg kg 71 i.v. followed by a continuous infusion of 0.04 mg kg 71 h 71 ). For example, VF during occlusion was increased from 0% in the preconditioned dogs to 40% (P50.05) in the presence of atropine and BRS was again reduced during occlusion (from 1.75+0.29 to 0.30+0.08 mmHg ms 71 ; P50.05). 4 We conclude that preconditioning reduces arrhythmia severity during ischaemia by favourably modifying cardiac autonomic receptor mechanism through enhancing vagal in¯uences.