SUMMARY. Mean arterial blood pressure, heart rate, and cardiac output were measured during continuous graded exercise (5.5 km/hr; 0, 7, 14, and 21% grades) in conscious dogs, under each of the following four conditions: (1) baroreceptors intact, (2) chronic aortic arch denervation, (3) chronic aortic arch denervation and surgical preparation of the carotid sinuses for later reversible vascular isolation, and (4) chronic aortic arch denervation and carotid sinuses vascularly isolated at a fixed pressure. Arterial blood pressure increased with increasing work load to a maximum of 12 ± 3, 18 ± 5, and 14 + 5 mm Hg above control in conditions 1, 2, and 3, respectively. In condition 4, the maximum increase in pressure during graded exercise was 51 ± 7 mm Hg above control. Upon cessation of graded exercise, the increase in arterial pressure persisted through the 5-minute recovery period. Heart rate and cardiac output increased similarly in proportion to work load under all four conditions. In contrast to dogs in condition 4, three dogs with chronic sinoaortic denervation showed no work load-related increase in arterial pressure during exercise. Thus, during exercise, the carotid baroreflex acts to balance finely the opposing effects of sympathetic vasoconstriction and metabolic vasodilation. (Circ Res 52: 253-262, 1983) THE QUESTION of regulation of arterial blood pressure by carotid and aortic baroreceptors during exercise is controversial (Bevegard and Shepherd, 1966;Vatner et al., 1970; Krasney et al v 1974; McRitchie et al., 1976;Melcher and Donald, 1981). Studies in dogs have utilized chronic denervation of aortic and of carotid baroreceptors, singly or in combination. Using these techniques, Krasney et al. (1974) and McRitchie et al. (1976) have concluded that arterial baroreflexes are not involved in the regulation of arterial pressure during exercise. The development of a technique to produce reversible vascular isolation of the carotid sinuses (Stephenson and Donald, 1980a) has permitted evaluation of the role of the carotid baroreflex in the regulation of arterial pressure by examining the cardiovascular responses when the carotid sinuses are acutely prevented from responding to arterial pressure. Melcher and Donald (1981) used this preparation in conscious exercising dogs and found that the response of arterial blood pressure to light and to severe exercise was normal when only the carotid baroreceptors or only the aortic and vagal cardiopulmonary receptors were able to respond to the stress. When all three systems were inoperative, arterial pressure fell with the start of light exercise and remained depressed throughout the run. They concluded that the carotid baroreflex had a significant, although not indispensable, role in the complex interaction of the several mechanisms that act to maintain arterial pressure during exercise.This study examines the ability of carotid baroreceptors to regulate arterial pressure during graded exercise in the chronic absence of the aortic baroreflex. Two preparations wer...