-Although it is well established that bulbospinal neurons located in the rostral ventrolateral medulla (RVLM) play a pivotal role in regulating sympathetic nerve activity and blood pressure, virtually all neurophysiological studies of this region have been conducted in anesthetized or decerebrate animals. In the present study, we used time-and frequency-domain analyses to characterize the naturally occurring discharges of RVLM neurons in conscious cats. Specifically, we compared their activity to fluctuations in carotid artery blood flow to identify neurons with cardiac-related (CR) activity; we then considered whether neurons with CR activity also had a higher-frequency rhythmic firing pattern. In addition, we ascertained whether the surgical removal of vestibular inputs altered the rhythmic discharge properties of RVLM neurons. Less than 10% of RVLM neurons expressed CR activity, although the likelihood of observing a neuron with CR activity in the RVLM varied between recording sessions, even when tracking occurred in a very limited area and was higher after vestibular inputs were surgically removed. Either a 10-Hz or a 20-to 30-Hz rhythmic discharge pattern coexisted with the CR discharges in some of the RVLM neurons. Additionally, the firing rate of RVLM neurons, including those with CR activity, decreased after vestibular lesions. These findings raise the prospect that RVLM neurons may or may not express rhythmic firing patterns at a particular time due to a variety of influences, including descending projections from higher brain centers and sensory inputs, such as those from the vestibular system. vestibular system; sympathetic nervous system; baroreceptors; 10-Hz rhythm; cardiac-related activity THERE IS A CONSENSUS THAT bulbospinal neurons located in the rostral ventrolateral medulla (RVLM) play a pivotal role in regulating the activity of sympathetic preganglionic neurons in the spinal cord that control peripheral vascular resistance and blood pressure (13,15,16). Neurophysiological studies conducted in decerebrate or anesthetized animals have characterized the firing patterns and responses to a variety of stimuli of RVLM neurons (e.g., 3, 5-7, 18, 23). A hallmark of sympathetic nerve activity (SNA) and of the activity in brain stem neurons that regulate cardiovascular function is the appearance of a cardiac-related (CR) rhythm, reflecting the influence of the baroreceptor reflex (14,20,23,25,27). In addition to the CR rhythm, several groups have noted the appearance of a 10-Hz rhythm in SNA of cats (4, 9, 10, 14, 24).We recently provided the first examples of recordings of RVLM neuronal activity in conscious animals (18). In that study, we compared in decerebrate and awake cats the responses of RVLM neurons to whole-body rotations that activate vestibular receptors. We demonstrated that RVLM neuronal responses to vestibular inputs are ordinarily suppressed in conscious animals and hypothesized that autonomic responses to a variety of inputs, including those from the inner ear, are gated by higher brai...